中华临床医师杂志(电子版)
中華臨床醫師雜誌(電子版)
중화림상의사잡지(전자판)
CHINESE JOURNAL OF CLINICIANS(ELECTRONIC VERSION)
2015年
12期
2300-2303
,共4页
李敏豪%董超%吴乾龙%董婉华%杨平%冯素娥%刘凤鸣
李敏豪%董超%吳乾龍%董婉華%楊平%馮素娥%劉鳳鳴
리민호%동초%오건룡%동완화%양평%풍소아%류봉명
降钙素原%小儿肺炎%肺炎,细菌性%重症肺炎%急性呼吸窘迫综合征
降鈣素原%小兒肺炎%肺炎,細菌性%重癥肺炎%急性呼吸窘迫綜閤徵
강개소원%소인폐염%폐염,세균성%중증폐염%급성호흡군박종합정
Procalcitonin%Pediatric pneumonia%Pneumonia,bacterial%Severe pneumonia%Acute respiratory distress syndrome
目的:探讨血清降钙素原(PCT)对预测小儿细菌性重症肺炎及并发急性呼吸窘迫综合征(ARDS)的临床适用性。方法回顾性分析100例细菌性肺炎患儿,对重症肺炎组与轻症肺炎组的血清PCT进行均数比较、相关性分析、ROC分析等统计分析。结果重症肺炎组与轻症肺炎组的血清PCT值有统计学差异(P<0.001),ROC分析:入院后治疗前血清PCT值预测重症肺炎的AUC=0.846(P<0.01),预测灵敏度与特异度分别为90%、78%;在重症肺炎组,治疗期间血清PCT平均值预测并发ARDS的AUC=0.799(P=0.002),其预测灵敏度和特异度分别为100%、53%。结论对于细菌性肺炎患儿,入院后治疗前的血清PCT在预测重症肺炎的发生方面可能具有一定的临床应用价值,而对于是否并发ARDS,治疗期间的血清PCT的动态变化则提供了一个良好的预测指标。
目的:探討血清降鈣素原(PCT)對預測小兒細菌性重癥肺炎及併髮急性呼吸窘迫綜閤徵(ARDS)的臨床適用性。方法迴顧性分析100例細菌性肺炎患兒,對重癥肺炎組與輕癥肺炎組的血清PCT進行均數比較、相關性分析、ROC分析等統計分析。結果重癥肺炎組與輕癥肺炎組的血清PCT值有統計學差異(P<0.001),ROC分析:入院後治療前血清PCT值預測重癥肺炎的AUC=0.846(P<0.01),預測靈敏度與特異度分彆為90%、78%;在重癥肺炎組,治療期間血清PCT平均值預測併髮ARDS的AUC=0.799(P=0.002),其預測靈敏度和特異度分彆為100%、53%。結論對于細菌性肺炎患兒,入院後治療前的血清PCT在預測重癥肺炎的髮生方麵可能具有一定的臨床應用價值,而對于是否併髮ARDS,治療期間的血清PCT的動態變化則提供瞭一箇良好的預測指標。
목적:탐토혈청강개소원(PCT)대예측소인세균성중증폐염급병발급성호흡군박종합정(ARDS)적림상괄용성。방법회고성분석100례세균성폐염환인,대중증폐염조여경증폐염조적혈청PCT진행균수비교、상관성분석、ROC분석등통계분석。결과중증폐염조여경증폐염조적혈청PCT치유통계학차이(P<0.001),ROC분석:입원후치료전혈청PCT치예측중증폐염적AUC=0.846(P<0.01),예측령민도여특이도분별위90%、78%;재중증폐염조,치료기간혈청PCT평균치예측병발ARDS적AUC=0.799(P=0.002),기예측령민도화특이도분별위100%、53%。결론대우세균성폐염환인,입원후치료전적혈청PCT재예측중증폐염적발생방면가능구유일정적림상응용개치,이대우시부병발ARDS,치료기간적혈청PCT적동태변화칙제공료일개량호적예측지표。
Objective To investigate the clinical applicability of serum procalcitonin levels in predicting severe pneumonia and acute respiratory distress syndrome (ARDS) secondary to bacterial pneumonia in children. Methods A hundred of cases of childhood bacterial pneumonia were recruited to explore their serum-PCT before/during treatment. Means comparison, correlation analysis, ROC analysis were carried out. Results The serum-PCT before treatment were statistical significance (P<0.01) of two groups (severe pneumonia vs. mild pneumonia). In ROC analysis, the AUC of serum-PCT (before treatment) in predicting severe pneumonia is 0.846 (P<0.01), the sensitivity, specificity were 90%, 78%respectively. In the severe pneumonia group, the AUC of serum-PCT (during treatment) in predicting ARDS is 0.799 (P=0.002), the sensitivity, specificity were 100%, 53%respectively. Conclusion For the children with bacterial pneumonia, the serum-PCT before treatment has certain reference value in predicting severe pneumonia, on the other hand, in the severe pneumonia group, serum-PCT during treatment provides a good index in predicting ARDS.