摘要
目的研究平均血小板体积(MPV)和血小板分布宽度(PDW)对危重患者急性肾损伤(AKI)预测价值。方法选取惠州市第三人民医院2016年1月至2018年12月收治的68例危重患者AKI作为试验组,选取同期体检的68例健康人员作为对照组,均给予检测血小板(PLT)参数,包括PLT计数、降钙素原(PCT)、PDW与MPV,分析其预测价值。结果试验组的PDW、MPV均低于对照组,且PLT计数高于对照组(P<0.05);不同时期AKI患者的PDW、MPV、PCT及PLT计数对比差异有统计学意义(P<0.05);有并发症AKI患者PDW、MPV及PLT计数均低于无并发症AKI患者(P<0.05)。结论对于危重AKI患者而言,检测MPV和PDW变化尤为重要,能够进一步评估病情严重情况和预后效果。
Objective To study of mean platelet volume(MPV)and Platelet distribution Width(PDW)for acute kidney injury(AKI)in critically ill patients.Methods A total of 68 critically ill patients admitted in Huizhou Third People's Hospital from January 2016 to December 2018 were selected as the study object,68 critically ill patients were AKI as the experimental group,and 68 healthy people in the same period of physical examination were selected as the control group PLT parameters were given,including PLT count,PCT、PDW and MPV analysis of their predictive value.Results The PDW、MPV of the experimental group was lower than that of the control group,and the PLT count was higher than that of the control group(P<0.05)The PDW、MPV、PCT and PLT counts of patients with different stages were different(P<0.05).The PDW、MPV and PLT counts of patients with complications were lower than those without complications(P<0.05).Conclusion It is very important for the patients with critical AKI to detect MPV and PDW changes,which can further evaluate the serious condition and prognosis,and facilitate the follow-up physician to formulate or adjust the treatment plan for them,which has clinical application value.
作者
郑春和
曲楠
ZHENG Chunhe;QU Nan(Huizhou Third People's Hospital,Huizhou,Guangdong 516002,China)
出处
《大医生》
2020年第5期55-57,共3页
Doctor
关键词
平均血小板体积
血小板分布宽度
危重
急性肾损伤
预测价值
average platelet volume
platelet distribution width
critical
acute renal injury
predictive value
