临床和实验医学杂志
臨床和實驗醫學雜誌
림상화실험의학잡지
JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE
2015年
1期
14-17
,共4页
泌尿系肿瘤%发热%降钙素原
泌尿繫腫瘤%髮熱%降鈣素原
비뇨계종류%발열%강개소원
Urinary tract tumors%Fever%Procalcitonin
目的：评价降钙素原（PCT）在鉴别晚期泌尿系肿瘤患者细菌感染性发热和非细菌感染性发热中的作用。方法收集77例体温高于38℃的晚期泌尿系肿瘤住院患者，按有无细菌感染分为细菌感染性发热组（n =32）和非细菌感染性发热组（n =45）。所有患者均在出现发热症状后立即行白细胞计数（WBC）、C 反应蛋白（CRP）及 PCT 的检测并进行记录。结果细菌感染性发热及非细菌感染性发热两组的统计结果显示体温及 WBC、CRP 的差异不显著，P 值均≥0.05；PCT 在两组之间存在着明显的差异：细菌感染发热组较非细菌感染发热组显著增高（ P =0.01）。相关性分析结果表明在细菌感染性发热组中，PCT 水平不仅与体温的升高相关（ r =0.647，P ﹤0.001），而且与 WBC 密切相关（ r=0.574，P =0.001）。结论 PCT 水平的检测对于鉴别晚期泌尿系肿瘤的发热原因具有一定的价值，并且可以协助临床医生做出正确的临床决策。
目的：評價降鈣素原（PCT）在鑒彆晚期泌尿繫腫瘤患者細菌感染性髮熱和非細菌感染性髮熱中的作用。方法收集77例體溫高于38℃的晚期泌尿繫腫瘤住院患者，按有無細菌感染分為細菌感染性髮熱組（n =32）和非細菌感染性髮熱組（n =45）。所有患者均在齣現髮熱癥狀後立即行白細胞計數（WBC）、C 反應蛋白（CRP）及 PCT 的檢測併進行記錄。結果細菌感染性髮熱及非細菌感染性髮熱兩組的統計結果顯示體溫及 WBC、CRP 的差異不顯著，P 值均≥0.05；PCT 在兩組之間存在著明顯的差異：細菌感染髮熱組較非細菌感染髮熱組顯著增高（ P =0.01）。相關性分析結果錶明在細菌感染性髮熱組中，PCT 水平不僅與體溫的升高相關（ r =0.647，P ﹤0.001），而且與 WBC 密切相關（ r=0.574，P =0.001）。結論 PCT 水平的檢測對于鑒彆晚期泌尿繫腫瘤的髮熱原因具有一定的價值，併且可以協助臨床醫生做齣正確的臨床決策。
목적：평개강개소원（PCT）재감별만기비뇨계종류환자세균감염성발열화비세균감염성발열중적작용。방법수집77례체온고우38℃적만기비뇨계종류주원환자，안유무세균감염분위세균감염성발열조（n =32）화비세균감염성발열조（n =45）。소유환자균재출현발열증상후립즉행백세포계수（WBC）、C 반응단백（CRP）급 PCT 적검측병진행기록。결과세균감염성발열급비세균감염성발열량조적통계결과현시체온급 WBC、CRP 적차이불현저，P 치균≥0.05；PCT 재량조지간존재착명현적차이：세균감염발열조교비세균감염발열조현저증고（ P =0.01）。상관성분석결과표명재세균감염성발열조중，PCT 수평불부여체온적승고상관（ r =0.647，P ﹤0.001），이차여 WBC 밀절상관（ r=0.574，P =0.001）。결론 PCT 수평적검측대우감별만기비뇨계종류적발열원인구유일정적개치，병차가이협조림상의생주출정학적림상결책。
Objective To evaluate the roles of PCT in the differentiation of bacterial infectious fever and non - bacterial infectious fever in patients with advanced urinary tract tumors. Methods According to the presence or absence of bacterial infection,77 hospitalized urinary tract tumor patients with body temperature higher than 38℃ were divided into bacterial infectious fever group(n = 32)and non - bacterial infectious fe-ver groups(n = 45). WBC,CRP,and PCT were detected immediately after the appearance of fever symptoms in all patients. The serological pa-rameters of the two groups were compared and analyzed. Results Significant differences in body temperature,WBC,and CRP were not found be-tween the two groups(all P ≥0. 05). But in bacterial infectious fever group,PCT level increased significantly than in non - bacterial infectious fe-ver group( P = 0. 01). Correlation analysis revealed that in the bacterial infectious fever group PCT level was not only related to the rise of tem-perature( r = 0. 647,P ﹤ 0. 001)but closely related to WBC count( r = 0. 574,P = 0. 001). Conclusion The detection of PCT level may contribute to the identification of the cause of fever in advanced urinary tract tumor patients and help clinician to make a correct clinical decision.
