血清降钙素原动态监测在急性胰腺炎早期严重度评估中的意义

The significance of dynamic monitoring Procalcitonin to assess the severity of acute pancreatitis in the early stages

目的探讨动态监测血清降钙素原(PCT)在急性胰腺炎早期严重度评估中的价值。方法 92例急性胰腺炎(AP)患者(27例重症患者和65例轻症患者)在入院后动态检测血清PCT水平,27例健康者作为对照,并对结果进行对照分析。结果重症组和轻症组在入院后的1h、24h、2d、3d和5d检测PCT的水平比较差异有显著的统计学意义(P<0.01)。结论血清降钙素原动态检测可作为AP患者病情变化的指标,对AP早期严重度具有良好的预测作用。

Objective To explore the value of dynamic monitoring serum Procalcitonin（PCT）to assess the severity of acute pancreatitis in the early stages.Methods 92 cases of acute pancreatitis （AP） （27 severe patients and 65 mild patients） at post-admission were detected dynamically serum PCT,27 healthy subjects as controls,then analysed and contrasted the results.Results The change of PCT levels at post-admission 1 h,24 h,2 d,3 d and 5 d between Severe group and mild group during hospitalization in patients were statistically significant difference （P0.01）.Conclusion Serum procalcitonin detected in patients with AP can be used as indicators of changes in the AP,and it has a good role to early severity prediction of AP.