临床合理用药杂志
臨床閤理用藥雜誌
림상합리용약잡지
CHINESE JOURNAL OF CLINICAL RATIONAL DRUG USE
2014年
14期
15-17
,共3页
氨基末端B型脑钠肽前体%动态测定%感染性休克%生存预后
氨基末耑B型腦鈉肽前體%動態測定%感染性休剋%生存預後
안기말단B형뇌납태전체%동태측정%감염성휴극%생존예후
N-terminal pro-brain natriu-retic peptid%Dynamic measurement%Septic shock%Prognosis
目的:讨论血浆 NT-proBNP 的动态变化在感染性休克患者预后评估价值。方法采用前瞻性观察研究方法,收集32例感染性休克患者的血浆 NT-proBNP 指标纳入研究。入选患者于入住重症监护室第0、1、3天测定血浆 NT-proBNP 水平。△NT-proBNP1以及△NT-proBNP3、△NT-proBNP3-1被定义为第1天、第3天分别与第0天比较血浆 NT-proBNP 水平变化值以及第3天与第1天比较血浆 NT-proBNP 水平的变化值。根据住院28d 死亡情况在死亡组与生存组之间比较。ROC 曲线下面积比较评价△NT-proBNP1、△NT-proBNP3、△NT-proBNP3-1、NT-proBNP0、NT-proBNP1、NT-proBNP3及 APACHEⅡ在感染性休克患者的病死率的预测价值。结果 ROC 曲线分析显示△NT-proB-NP3是感染性休克患者病死率预测的可靠指标。结论血浆 NT-proBNP 动态测定可能成为感染性休克患者预后评估的更有效的手段。
目的:討論血漿 NT-proBNP 的動態變化在感染性休剋患者預後評估價值。方法採用前瞻性觀察研究方法,收集32例感染性休剋患者的血漿 NT-proBNP 指標納入研究。入選患者于入住重癥鑑護室第0、1、3天測定血漿 NT-proBNP 水平。△NT-proBNP1以及△NT-proBNP3、△NT-proBNP3-1被定義為第1天、第3天分彆與第0天比較血漿 NT-proBNP 水平變化值以及第3天與第1天比較血漿 NT-proBNP 水平的變化值。根據住院28d 死亡情況在死亡組與生存組之間比較。ROC 麯線下麵積比較評價△NT-proBNP1、△NT-proBNP3、△NT-proBNP3-1、NT-proBNP0、NT-proBNP1、NT-proBNP3及 APACHEⅡ在感染性休剋患者的病死率的預測價值。結果 ROC 麯線分析顯示△NT-proB-NP3是感染性休剋患者病死率預測的可靠指標。結論血漿 NT-proBNP 動態測定可能成為感染性休剋患者預後評估的更有效的手段。
목적:토론혈장 NT-proBNP 적동태변화재감염성휴극환자예후평고개치。방법채용전첨성관찰연구방법,수집32례감염성휴극환자적혈장 NT-proBNP 지표납입연구。입선환자우입주중증감호실제0、1、3천측정혈장 NT-proBNP 수평。△NT-proBNP1이급△NT-proBNP3、△NT-proBNP3-1피정의위제1천、제3천분별여제0천비교혈장 NT-proBNP 수평변화치이급제3천여제1천비교혈장 NT-proBNP 수평적변화치。근거주원28d 사망정황재사망조여생존조지간비교。ROC 곡선하면적비교평개△NT-proBNP1、△NT-proBNP3、△NT-proBNP3-1、NT-proBNP0、NT-proBNP1、NT-proBNP3급 APACHEⅡ재감염성휴극환자적병사솔적예측개치。결과 ROC 곡선분석현시△NT-proB-NP3시감염성휴극환자병사솔예측적가고지표。결론혈장 NT-proBNP 동태측정가능성위감염성휴극환자예후평고적경유효적수단。
Objective To investigate the prognostic value of dynamic changes of plasmic NT-proBNP concentration in patients with septic shock. Methods A prospective observational study was conducted to collect 32 patients with septic shock, the plasmic NT-proBNP of whom were tested. NT-proBNP plasma levels of included patients were tested in the time points of day 0,day 1st and day 3rd during their intensive care unit stay. △ NT-proBNP1 and △ NT-proBNP3 were defined as plasmic NT-proBNP difference value of day 1,day 3 with day 0 respectively,meanwhile △ NT-proBNP 3-1 was defined as the plasmic NT-proBNP difference value between day 3rd and day 1st. They were compared between death and survival group according to the mortality of hospitalization day 28th. ROC curve of △ NT-proBNP1,△ NT-proBNP3,△ NT-proBNP3-1,NT-proBNP0, NT-proBNP1,NT-proBNP3 and APACHE Ⅱwere compared to assess the predictive value of mortality in septic shock patients. Results ROC curve analysis showed that △ NT-proBNP3 was a reliable indicator of mortality in patients with septic shock. Conclusion Plasma NT-proBNP dynamic measurement may become a more effective means for the evaluation of the prognosis of patients with septic shock.