中华移植杂志(电子版)
中華移植雜誌(電子版)
중화이식잡지(전자판)
Chinese Journal of Transplantation(Electronic Version)
2013年
4期
195-199
,共5页
范林%叶啟发%钟自彪%明英姿%叶少军%王彦峰
範林%葉啟髮%鐘自彪%明英姿%葉少軍%王彥峰
범림%협계발%종자표%명영자%협소군%왕언봉
肾移植%肺部感染%血清降钙素原%内毒素%C反应蛋白
腎移植%肺部感染%血清降鈣素原%內毒素%C反應蛋白
신이식%폐부감염%혈청강개소원%내독소%C반응단백
Kidney transplantation%Pulmonary infection%Serum procalcitonin%Endotoxin%C-reactive protein
目的:与内毒素和C反应蛋白( CRP)检测结果进行比较,探讨血清降钙素原( PCT)检测在肾移植术后肺部感染诊断中的临床意义及其应用价值。方法回顾性分析2010年2月至2013年9月武汉大学移植医学中心98例肾移植术后并发肺部感染的受者临床资料。根据肺部感染的病原体诊断标准将受者分为细菌组(48例)和非细菌组(50例),比较PCT、内毒素和CRP检测3种方法诊断肾移植术后细菌性肺部感染的灵敏度和特异度,比较3种方法对确诊肾移植术后并发细菌性肺部感染受者的阳性诊断结果。结果 PCT 检测灵敏度为95.8%,特异度为94.0%;内毒素检测灵敏度为77.1%,特异度为72.0%;CRP检测灵敏度为52.1%,特异度为58.0%。血清PCT检测细菌组受者阳性结果高于内毒素和CRP检测(χ2=7.36,10.04, P均<0.05)。结论血清PCT检测对于肾移植术后细菌性肺部感染的临床诊断价值高于内毒素和CRP,可作为肾移植受者是否并发细菌性肺部感染的优选诊断指标。
目的:與內毒素和C反應蛋白( CRP)檢測結果進行比較,探討血清降鈣素原( PCT)檢測在腎移植術後肺部感染診斷中的臨床意義及其應用價值。方法迴顧性分析2010年2月至2013年9月武漢大學移植醫學中心98例腎移植術後併髮肺部感染的受者臨床資料。根據肺部感染的病原體診斷標準將受者分為細菌組(48例)和非細菌組(50例),比較PCT、內毒素和CRP檢測3種方法診斷腎移植術後細菌性肺部感染的靈敏度和特異度,比較3種方法對確診腎移植術後併髮細菌性肺部感染受者的暘性診斷結果。結果 PCT 檢測靈敏度為95.8%,特異度為94.0%;內毒素檢測靈敏度為77.1%,特異度為72.0%;CRP檢測靈敏度為52.1%,特異度為58.0%。血清PCT檢測細菌組受者暘性結果高于內毒素和CRP檢測(χ2=7.36,10.04, P均<0.05)。結論血清PCT檢測對于腎移植術後細菌性肺部感染的臨床診斷價值高于內毒素和CRP,可作為腎移植受者是否併髮細菌性肺部感染的優選診斷指標。
목적:여내독소화C반응단백( CRP)검측결과진행비교,탐토혈청강개소원( PCT)검측재신이식술후폐부감염진단중적림상의의급기응용개치。방법회고성분석2010년2월지2013년9월무한대학이식의학중심98례신이식술후병발폐부감염적수자림상자료。근거폐부감염적병원체진단표준장수자분위세균조(48례)화비세균조(50례),비교PCT、내독소화CRP검측3충방법진단신이식술후세균성폐부감염적령민도화특이도,비교3충방법대학진신이식술후병발세균성폐부감염수자적양성진단결과。결과 PCT 검측령민도위95.8%,특이도위94.0%;내독소검측령민도위77.1%,특이도위72.0%;CRP검측령민도위52.1%,특이도위58.0%。혈청PCT검측세균조수자양성결과고우내독소화CRP검측(χ2=7.36,10.04, P균<0.05)。결론혈청PCT검측대우신이식술후세균성폐부감염적림상진단개치고우내독소화CRP,가작위신이식수자시부병발세균성폐부감염적우선진단지표。
Objective To investigate the clinical significance and application value of serum procalcitonin ( PCT) in the diagnosis of pulmonary infection after renal transplantation .Methods A total of 98 patients, who complicated with pulmonary infection after renal transplantation from February 2010 to September 2013 , were retrospectively analyzed .The patients were divided into bacterial group (48 patients) and non-bacterial group (50 patients) according to the pathogen diagnostic criteria .The data ( including PCT , endotoxin and C-reactive protein ) had a statistical analysis .Results The sensitivity and specificity of PCT , endotoxin and C-reactive protein were 95.8%and 94.0%, 77.1%and 72.0%, and 52.1% and 58.0%, respectively.Compared with the endotoxin and C-reactive protein, the positive result of serum PCT in the bacteria group had an extremely significant difference (χ2 =7.36, 10.04, all P<0.05).Conclusion The test of PCT has an obvious clinical diagnosis value on pulmonary bacterial infection after renal transplantation .It can be preferentially used as a monitoring index for pulmonary bacterial infection after renal transplantation than rather endotoxin and C-reactive protein .