CAJ | 학술논문

目的：探讨血清降钙素原（PCT）水平对重症加强护理病房（ICU）的危重患者采取抗菌治疗的指导价值。方法选取我院 ICU 收治的危重患者66例，按照入院编号随机分成观察组和对照组，对照组采取常规抗生素治疗，观察组则按照患者的 PCT 水平选择是否使用抗生素，比较两组临床效果。结果观察组住院时间、抗生素使用时间均短于对照组，差异有统计学意义（P ﹤0.05）。观察组存活率（93.94%）高于对照组（84.85%），差异有统计学意义（P ﹤0.05）。观察组死亡率（6.06%）低于对照组（15.15%），差异有统计学意义（P ﹤0.05）。结论 PCT 检查作为一种动态监测 ICU 危重患者感染水平的指标表现良好，在指导抗生素的运用中具有一定的临床价值。
목적：탐토혈청강개소원（PCT）수평대중증가강호리병방（ICU）적위중환자채취항균치료적지도개치。방법선취아원 ICU 수치적위중환자66례，안조입원편호수궤분성관찰조화대조조，대조조채취상규항생소치료，관찰조칙안조환자적 PCT 수평선택시부사용항생소，비교량조림상효과。결과관찰조주원시간、항생소사용시간균단우대조조，차이유통계학의의（P ﹤0.05）。관찰조존활솔（93.94%）고우대조조（84.85%），차이유통계학의의（P ﹤0.05）。관찰조사망솔（6.06%）저우대조조（15.15%），차이유통계학의의（P ﹤0.05）。결론 PCT 검사작위일충동태감측 ICU 위중환자감염수평적지표표현량호，재지도항생소적운용중구유일정적림상개치。
Objective:To investigate guidance value of serum procalcitonin levels on antibiotic therapy for ICU patients. Methods:Sisty-six patients in ICU of our hospital were randomly divided into the control group treated by conventional anti-biotic treatment,and the observation grouptreated by antibiotics accordance with the patient's PCT levels. Results:The hos-pitalization,antibiotic using time of observation group were shorter than those of the control group,with statistical signifi-cance(P ﹤ 0. 05). After treatment,the survival rate of the observation group(93. 94% )was higher than that of the control group(84. 85% ). The mortality of the observation group(6. 06% )was lower than that of the control group 15. 15%(P ﹤0. 05). Conclusion:PCT examination as a dynamic detection performance indicators shows the infection level of critically ill patients in ICU,which has the clinical value in guiding antibiotic use.