摘要
目的分析肌钙蛋白(cTnI)、降钙素原(PCT)对心脏术后感染性休克病情程度的影响。方法选择在该院2014年7月—2016年4月在该院接受心脏手术治疗的100例患者作为研究对象,并按照感染性休克是否合并为依据分为实验组与常规组,每组均为50例患者。实验组所有患者均为合并感染性休克,常规组所有患者均为未合并感染性休克。使用免疫吸附实验法检测c Tnl,免疫散射比浊法检测PCT,对比两组检测结果。结果实验组患者的肌钙蛋白(6.01±1.12)μg/L、降钙素原(1.89±0.21)ng/L均显著高于常规组患者的肌钙蛋白(0.75±3.21)μg/L、降钙素原(0.21±0.11)ng/L,两组数据差异有统计学意义(P<0.05);感染性休克患者在最初发病时,肌钙蛋白、降钙素原的含量均明显高于治疗12、24 h时,并且其含量会随着时间的延续逐渐降低,开始发病时与治疗12、24 h时两组数据的差异有统计学意义(P<0.05)。结论肌钙蛋白、降钙素原对于心脏术后的感染性休克有着十分显著的诊断意义,对于病情程度不相同的感染性休克有着相应的预测效果,是一种安全、有效的预测技术,值得临床推广。
Objective To analyze the effect of cTnI and PCT on the disease degree of infective shock after the heart surgery. Methods 100 cases of patients with heart survey in our hospital from July 2014 to April 2016 were selected as the research objects and divided into two groups with 50 cases in each, the patients in the experimental group were complicated by the infective Shock, while the patients in the routine group were not complicated by the infective shock, and the cTnl was tested by the immunoadsorption test method, the PCT was tested by the immune scattering nephelometry, and the test results of the two groups were tested. Results The troponin and procalcitonin in the experimental group were obviously higher than those in the routine group[（6.01±l.12）μg/L,（1.89±0.21）ng/L vs （0.75±3.21）ng/L, （0.21±0.11）ng/L], and the differences had statistical significance （P〈0.05）, and the constant of trop0nin and procalcitonin of patients with infective shock at the beginning of the disease was obviously higher than those at 12 h and 24 h after operation, and the differences had statistical significance（P〈0.05）. Conclusion The troponin and procalcitonin are of great diagnosis significance to the infective shock after the heart surgery, and have the corresponding predictive effect on the infective shock of patients of different disease degrees, which is a safe and effective predictive technology, and it is worth clinical promotion.
出处
《系统医学》
2017年第4期10-12,共3页
Systems Medicine
