摘要
目的分析降钙素原(PCT)水平和序贯器官衰竭估计评分(SOFA)对脓毒症病情及预后的评估价值。方法回顾79例患者资料,分析脓毒症严重程度、不同感染部位及预后脓毒症患者PCT水平及SOFA评分,比较其差异,分析PCT与SOFA相关性,及其对脓毒症预后的评估价值。结果 PCT水平及SOFA评分随着脓毒症严重程度增加而升高;腹腔感染患者PCT水平高于其他部位感染者;第5天PCT水平及SOFA评分对于脓毒症患者预后有一定预测价值,入院第1天死亡者与生存者PCT水平比较,差异未见统计学意义(P>0.05)。PCT水平与SOFA评分呈正相关。结论 PCT水平对于腹腔感染患者诊断价值较高,PCT水平及SOFA评分在评估脓毒症严重度及预后上有一定意义,动态观察其变化对于判断脓毒症患者的病情及预后更有意义。
Objective To analyze the value of procalcitonin and SOFA score in evaluating the severity and prognosis of sepsis. Methods Seventy-nine patients were selected. The severity of sepsis, site of infection and prognosis, proealcitonin （PCT） level and SOFA score were compared and analyzed between the two groups. The relationship between PCT level and SOFA scores were analyzed, and their value in the prognosis of sepsis was evaluated. Results The levels of PCT and SOFA increased with the severity of sepsis increasing ; the level of PCT in patients with abdominal infection was higher than that in patients with other parts infection ; in terms of prognosis, the PCT level and SOFA score of the fifth day had a certain predictive value for the prognosis of patients with sepsis, but there was no significant differ- ence in the PCT level of admission within 2 4 h between the death group and survival group . The PCT level was positively correlated with SOFA scores. Conclusion nosing abdominal infection. PCT and SOFA score have certain prognosis sepsis by of sepsis and it is more significant for evaluating the observing the dynamic changes of PCT The level of PCT has great value in diag- significance in assessing the severity and severity and prognosis of the patients with
出处
《临床医学》
CAS
2017年第11期3-5,共3页
Clinical Medicine
