血清降钙素原检测在非急诊性急腹症急诊诊治中的应用及其临床价值

Application of serum procalcitonin test in emergency diagnosis and treatment of non-emergency acute abdomen and its clinical value

目的探讨在非急诊性急腹症急诊诊治应用中PCT(血清降钙素原)检测的临床价值。方法选取我院急诊科2017年5月~2018年9月期间收治的急腹症非急诊性患者100例进行研究,分为对照组与研究组(n=43),对照组为非感染患者,入院后常规给予急腹症手术治疗;观察组为感染患者,在手术治疗基础上联合抗感染治疗。比较两组PCT水平及治疗有效率。结果研究组治疗后PCT水平明显下降(P<0.05);研究组患者的治疗有效率明显高于对照组(P<0.05)。结论PCT血清对急腹症非急诊性的敏感性病患较高,对患者早期急腹症以及非急诊性的判断、治疗及其预后都有相应的作用,患者的血清PCT水平作为指标,还需同时结合患者的表现,正确认识血清PCT检测,值得临床上广泛应用。

Objective To explore the clinical value of PCT(serum procalcitonin)in the emergency diagnosis and treatment of non-emergency acute abdomen.Methods A total of 100 nonemergency patients with acute abdomen from May 2017 to September 2018 in the emergency department of our hospital were enrolled.The patients were divided into the control group(n=43)and the study group(n=57).The control group was consist of non-infected patients and treated with acute abdomen surgery after admission.The observation group was consist of infected patients,and combined with anti-infective treatment based on surgical treatment.The PCT levels and treatment effectiveness were compared between the two groups.Results The PCT level of the study group was significantly decreased after treatment(P<0.05).The treatment efficiency of the study group was significantly higher than that of the control group(P<0.05).Conclusion Serum PCT is more sensitive to non-emergency acute abdomen,and has a corresponding effect on early acute abdomen and non-emergency judgment,treatment and prognosis.The patient's serum PCT level is used as an indicator.It is also necessary to combine the patient's performance and correctly understand the serum PCT test,which is worthy of clinical application.