动态监测乳酸清除率、红细胞分布宽度及降钙素原水平对评估重症肺炎预后的价值

The prognostic value of severe pneumonia prognosis with dynamic monitoring lactate clearance rate,red cell distribution width and procalcitonin levels

目的探讨动态监测乳酸清除率、红细胞分布宽度及降钙素原水平对评估重症肺炎预后的价值,为重症肺炎病情判断及预后评估方面提供客观依据。方法回顾性分析2014年2月至2015年3月收治重症肺炎患者100例为研究对象,依照预后结果分为存活组61例和死亡组39例,整理患者临床资料,分析患者入院第1天、第3天、第5天和第7天的乳酸清除率(LCR)、红细胞分布宽度(RDW)以及降钙素原(PCT)水平,并比较两组间的差异。结果从入院第3天,存活组LCR显著高于死亡组(P<0.05)。从入院第5天开始,存活组RDW值显著低于死亡组(P<0.05),存活组PCT值显著低于死亡组(P<0.05)。结论动态监测LCR、RDW和PCT水平有助于判断重症肺炎患者病情严重程度,对评估患者预后有重要价值。

Objective To analysize the prognostic value of Severe pneumonia prognosis with dynamic monitoring lactate clearance rate,red cell distribution width and procalcitonin levels. Methods 100 patients with severe pneumonia in hospital from February 2014 to March 2015 were selected,patients were randomly divided into survival group（ 61 cases） and death group（ 39 cases） according to prognosis. Different time points lactate clearance rate（ LCR）,red cell distribution width（ RDW） and procalcitonin（ PCT） levels were organize analyzed. Results LCR in survival group was significantly higher than the death group（ P 〈 0. 05） from the hospital on the third day. RDW survival group was significantly lower than the death group（ P 〈 0. 05） from the fifth day of admission,PCT survival group was significantly lower than the death group（P 〈 0. 05）. Conclusion Dynamic Monitoring lactate clearance rate,red cell distribution width and procalcitonin levels can judge the severity of the patient’s condition,to assess the prognosis of patients has important value.