肝硬化伴自发性细菌性腹膜炎患者血浆降钙素原检测的临床意义

目的:对肝硬化伴自发性细菌性腹膜炎患者血浆降钙素原检测的临床意义进行研究。方法:选取我院2013年2月-2015年2月肝硬化腹水患者76例,其中单纯肝硬化腹水患者38例,将其作为对照组,肝硬化伴自发性细菌性腹膜炎患者38例,将其作为观察组,在观察组和对照组患者入院一天后和三天后抽取患者肘静脉血进行血浆降钙原检测,并且对患者的多形核粒细胞进行检测,将观察组和对照组的临床检查结果进行比较分析。结果:从研究结果可知,观察组患者第三天的血浆降钙原检测结果比第一天检测结果明显好转,对照组患者第三天的血浆降钙原检测结果与第一天相比也有所好转,观察组患者的好转情况明前高于对照组(P<0.05),具有统计学意义;观察组中感染控制良好患者的血浆降钙原检测水平在第三天明显降低,降低的幅度超过50%,感染控制不良患者的血浆降钙原检测水平降低比较慢,降低的幅度不超过25%。具体情况见表2。结论:对肝硬化伴自发性细菌性腹膜炎患者进行血浆降钙素原检测的临床效果较好,并且对肝硬化伴自发性细菌性腹膜炎患者的预后有一定的价值,值得临床推广和使用。

Objective: to liver cirrhosis patients with spontaneous bacterial peritonitis with plasma calcitonin original test to study the clinical significance. Selection methods: our hospital in February 2013-February 2015, 76 cases of liver cirrhosis ascites patients, including 38 patients with liver cirrhosis ascites alone, as a control group, liver cirrhosis patients with spontaneous bacterial peritonitis with 38 cases, as a group, in the observation group and control group patients admitted to hospital and three days later a day after extraction in patients with elbow venous blood plasma calcitonin original tests, and to test the patients of polymorphonuclear granulocyte, the observation group and control group in the clinical examination results were compared. Results: from the results of the study, the observation group of patients plasma calcitonin original test results on the third day of the test results improved obviously than the first day, the control group patients plasma calcitonin on the third day of the original test results compared with the first day is also improved, observation group of patients with improvements are remarkably higher than that of control group(P < 0.05), statistically significant; Good infection control in the observation group patients plasma calcitonin original levels significantly lower on the third day, reduce the extent of more than 50%, infection in patients with poor control of blood plasma calcitonin original levels decrease is more slow, reduce the extent of less than 25%. Details are shown in table 2. Conclusion: the liver cirrhosis patients with spontaneous bacterial peritonitis with plasma calcitonin original better clinical effect, and prognosis of liver cirrhosis patients with spontaneous bacterial peritonitis with have certain value, worthy of clinical promotion and use.