CAJ | 학술논문

目的：探讨血降钙素原、D-二聚体检测对脓毒血症患者预后判断的临床价值。方法将68例脓毒血症患者按预后分为生存组和死亡组，比较两组间血降钙素原、D-二聚体水平并根据患者病情计算急性生理与慢性健康状况评分(APACHEⅡ)，判断各指标对脓毒血症患者预后的预测价值。结果68例脓毒血症患者，生存组28例，死亡组40例，病死率58.82%。两组降钙素原、D-二聚体水平及APACHEⅡ评分经统计学分析，差异均有统计学意义(均P<0.05)，死亡组均显著高于生存组。降钙素原、D-二聚体水平与 APACHEⅡ评分存在明显正相关性(P<0.05)。结论降钙素原、D-二聚体水平与 APACHEⅡ评分可用于评估脓毒血症患者病情，并作为预后预测的依据。
목적：탐토혈강개소원、D-이취체검측대농독혈증환자예후판단적림상개치。방법장68례농독혈증환자안예후분위생존조화사망조，비교량조간혈강개소원、D-이취체수평병근거환자병정계산급성생리여만성건강상황평분(APACHEⅡ)，판단각지표대농독혈증환자예후적예측개치。결과68례농독혈증환자，생존조28례，사망조40례，병사솔58.82%。량조강개소원、D-이취체수평급APACHEⅡ평분경통계학분석，차이균유통계학의의(균P<0.05)，사망조균현저고우생존조。강개소원、D-이취체수평여 APACHEⅡ평분존재명현정상관성(P<0.05)。결론강개소원、D-이취체수평여 APACHEⅡ평분가용우평고농독혈증환자병정，병작위예후예측적의거。
Objective To evaluate the clinical value of plasma procalcitonin and D-dimer measurements in estima-ting the prognosis of patients with sepsis.Methods According to prognosis,68 patients with sepsis were divided in-to survival group and death group,levels of procalcitonin and D-dimer,and acute physiology and chronic health eval-uation II (APACHE II)of two groups of patients were compared,predictive value of above markers in estimating the prognosis of patients with sepsis were evaluated.Results Of 68 patients with sepsis,28 survived and 40 died, mortality was 58.82%.There were significant differences in levels of procalcitonin and D-dimer,as well as APACHE II between two groups(both P<0.05),death group were all higher than survival group.Procalcitonin and D-dimer level were positively correlated with APACHE II score(P<0.05).Conclusion Procalcitonin,D-dimer level and APACHE II score can be used to evaluate condition of patients with sepsis as well as the prognosis of dis-ease.