CAJ | 학술논문

选择2013年1-12月间91例颅脑术后发热患者,根据是否并发感染分为未感染组(42例)和感染组(49例),随机选取51例无感染未手术病例为对照组.检验3组的降钙素原(PCT)、CRP和白细胞水平.未感染组与对照组PCT水平差异无统计学意义(P＞0.05),感染组与未感染组的PCT水平差异有统计学意义(P＜0.01).未感染组与对照组,感染组与未感染组之间的CRP水平差异有统计学意义(P＜0.01).白细胞水平在未感染组与对照组间、感染组与未感染组间差异有统计学意义(分别为P＜0.05和＜0.01).ROC曲线示PCT的灵敏度、特异度均最高.
선택2013년1-12월간91례로뇌술후발열환자,근거시부병발감염분위미감염조(42례)화감염조(49례),수궤선취51례무감염미수술병례위대조조.검험3조적강개소원(PCT)、CRP화백세포수평.미감염조여대조조PCT수평차이무통계학의의(P＞0.05),감염조여미감염조적PCT수평차이유통계학의의(P＜0.01).미감염조여대조조,감염조여미감염조지간적CRP수평차이유통계학의의(P＜0.01).백세포수평재미감염조여대조조간、감염조여미감염조간차이유통계학의의(분별위P＜0.05화＜0.01).ROC곡선시PCT적령민도、특이도균최고.
A prospective study was conducted for 91 cases of fever patients after neurosurgical procedures during the period of January-December 2013.They were divided into non-infection (n =42) and infection (n =49) groups according to whether there was infection complication.And another 51 nonsurgical hospitalized patients without fever or infection were selected as control group.The levels of procalcitonin (PCT),C-reactive protein (CRP) and white blood cell (WBC) were detected respectively.Statistical analysis showed that the level of PCT had no significant difference between non-infection and control groups (P ＞ 0.05).However,it was markedly elevated in infection group than non-infection group (P ＜ 0.01).The level of CRP was significantly different between non-infection and control groups (P ＜ 0.01).And it was the same between infection and non-infection groups.The level of WBC had significant difference between non-infection and control groups (P ＜ 0.05) and infection and non-infection groups (P ＜ 0.01).The receiver operating characteristic (ROC) curve showed that either sensitivity or specificity of PCT was the highest.Compared with CRP and WBC,PCT may identify more accurately the causes of fever after neurosurgical procedures.