脓毒症患者血浆PCT 、NTproBNP与cTnT水平检测的临床意义
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周青山

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R631

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Clinical significance of detection of  plasma PCT, NTproBNP and cTnT levels in patients with sepsis
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    摘要:

    目的探讨脓毒症患者血浆降钙素原(PCT)、氨基末端脑钠肽前体(NTproBNP)与肌钙蛋白T(cTnT)水平是否存在相关,以及对患者预后的意义。方法选取2014年9月—2015年3月某院重症监护病房(ICU)收治的48例脓毒症患者,按严重程度分成重度和轻度两组,检测患者血浆中PCT、 NTproBNP及cTnT水平,并统计患者的死亡结局情况,比较分析两组患者血浆PCT、NTproBNP、cTnT水平与其死亡情况的关系。结果重度脓毒症组患者血浆中PCT、NTproBNP、cTnT水平均高于轻度脓毒症组患者,差异具有统计学意义(均P<0.05);轻度脓毒症患者病死率为10.53%,低于重度脓毒症患者(41.38%),差异有统计学意义(P<0.05);死亡组患者的PCT、NTproBNP与cTnT水平均高于存活组(均P<0.05);相关分析发现脓毒症患者血浆中PCT 与NTproBNP呈正相关(rs=0.337,P<0.05),NTproBNP与cTnT之间也呈正相关(rs=0.456,P=0.001),而PCT与cTnT无显著相关。 预后分析发现脓毒症患者血浆中PCT、NTproBNP、cTnT水平均与患者预后相关(P<0.05),并且对患者的预后均有较好的判别作用,与独立指标相比,当三个指标组合时对预后判别能力更好。结论联合检测脓毒症患者血浆PCT、NPproBNP与cTnT水平可评估脓毒症患者感染的严重程度,并初步判断脓毒症患者的预后。

    Abstract:

    ObjectiveTo evaluate whether there is a correlation among plasma levels of procalcitonin (PCT), Nterminal probrain natriuretic peptide (NTproBNP) and cardiac troponin T (cTnT) in patients with sepsis, as well as significance to prognosis of patients. Methods48 patients with sepsis  who were admitted to the intensive care unit of a hospital between September 2014 and March 2015 were chosen for study, patients were divided into severe and mild sepsis groups according to the disease condition, plasma levels of PCT,  NTproBNP, and cTnT  were detected, mortality of  patients were analyzed statistically,  relation between plasma levels of PCT,  NTproBNP, cTnT and patients’ death  were compared. ResultsThe plasma levels of PCT, NTproBNP and cTnT in severe sepsis group were significantly higher than those in mild sepsis group (all P<0.05); mortality of mild sepsis group was significantly lower than that of severe sepsis group  (10.53%  vs  41.38%,  P<0.05);  Levels of PCT, NTproBNP and cTnT levels in died patients were all higher than surviving patients ( all P<0.05); levels of  PCT and NTproBNP,  NTproBNP and cTnT were positively correlated respectively (rs= 0.337, P<0.05; rs=0.456,P=0.001, respectively ), while PCT was not significantly correlated with cTnT. Plasma levels of PCT, NTproBNP, and cTnT were all correlated with the prognosis of patients (P<0.05), and is helpful for judging the prognosis of patients, combination of three indexes had  better prognostic value for the prognosis.ConclusionCombination detection of plasmid levels of PCT, NPproBNP, and cTnT can assess the severity of infection in patients with sepsis, and preliminarily judge the prognosis of patients with sepsis.

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戢文利,周青山,胡浪,等.脓毒症患者血浆PCT 、NTproBNP与cTnT水平检测的临床意义[J]. 中国感染控制杂志,2016,15(6):412-416. DOI:10.3969/j. issn.1671-9638.2016.06.012.
JI Wenli, ZHOU Qingshan, HU Lang, et al. Clinical significance of detection of  plasma PCT, NTproBNP and cTnT levels in patients with sepsis[J]. Chin J Infect Control, 2016,15(6):412-416. DOI:10.3969/j. issn.1671-9638.2016.06.012.

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  • 收稿日期:2016-02-01
  • 最后修改日期:2016-04-08
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  • 在线发布日期: 2016-06-30
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