摘要
目的探讨腹部创伤患者发生感染与预后及与全身炎症反应综合征(SIRS)评分、血清C-反应蛋白(CRP)及降钙素原(PCT)的相关性,为腹部创伤后感染的诊断及预后预测提供参考。方法选取2014年1月-2016年6月期间在医院诊治的腹部外伤患者200例,在入院时行SIRS评分及检测血清CRP及PCT,综合干预治疗,观察创伤后感染及预后。结果 200例患者发生创伤后感染者42例,感染率为21.00%;创伤后感染患者SIRS评分、血清CRP及PCT高于无感染患者;Spearman相关分析显示创伤后感染率、病死率、SIRS评分、CRP、PCT等指标间两两比较均有正相关性(P<0.05)。结论腹部创伤患者创伤后感染率及病死率高,SIRS评分、血清CRP及PCT升高患者创伤后感染及病死风险性显著增高,以上指标对创伤后感染及预后预测有一定参考价值。
OBJECTIVE To investigate the post-traumatic infections and prognosis in patients with abdominal trauma and their correlations with SIRS score,serum CRP and PCT,so as to provide a reference for diagnosis and prognosis prediction of post-traumatic infection in patients with abdominal trauma.METHODS A total of 200 patients with abdominal trauma in hospital from Jan.2014 to Jun.2016 were selected,SIRS score was calculated at admission for each patients,and serum levels of CRP and PCT were observed.After comprehensive intervention treatment,post-traumatic infection and prognosis were observed.RESULTS There are 42 cases of patients with post-traumatic infections in 200 patients,and the infection rates were 21.00% .The scores of SIRS,serum CRP and PCT in patients with post-traumatic infection were higher than those without infection.Spearman correlation analysis showed that post-traumatic infection rate, case fatality rate,SIRS score,CRP and PCT had a positive correlation with each other（P〈0.05）.CONCLUSIONPost-traumatic infection rate and case fatality rate are high in patients with abdominal trauma,and post-traumatic infection rate and case fatality rate are significant higher in patients with increased SIRS score,CRP and PCT,which have certain reference values for post-traumatic infection and prognosis prediction.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2017年第15期3502-3505,共4页
Chinese Journal of Nosocomiology
