CAJ | 학술논문

目的评估严重急性脑卒中患者的血清降钙素原(PCT)预测感染的临床价值。方法对急性脑卒中导致的严重脑损伤，需要进入ICU监护的患者48例，检测其入住ICU时第3天、第5天血清PCT和C反应蛋白(CRP)水平及感染发生情况。结果与非感染组相比，感染组患者入ICU时及第3天、第5天时血清PCT水平明显升高，差异有统计学意义(P<0.01)；而CRP水平两组间差异无统计学意义(P>0.05)。结论PCT测定有助于早期预测严重急性脑卒中患者感染的发生。
목적평고엄중급성뇌졸중환자적혈청강개소원(PCT)예측감염적림상개치。방법대급성뇌졸중도치적엄중뇌손상，수요진입ICU감호적환자48례，검측기입주ICU시제3천、제5천혈청PCT화C반응단백(CRP)수평급감염발생정황。결과여비감염조상비，감염조환자입ICU시급제3천、제5천시혈청PCT수평명현승고，차이유통계학의의(P<0.01)；이CRP수평량조간차이무통계학의의(P>0.05)。결론PCT측정유조우조기예측엄중급성뇌졸중환자감염적발생。
Objective To evaluation the predictive value of serum procalcitonin (PCT) in severe acute cerebral apoplexy complicated infection. Methods Severe brain damage due to acute stroke, need access to ICU care of 48 patients, Detect when admitted to ICU, 3rd-, 5th-day PCT, and serum c-reactive protein (CRP) levels and occurrence of infections. Results Compared with non-infected group, Infected patients into icu and 3 days, 5 days serum PCT level significantly higher, The difference has statistics significance (P<0.01); CRP level between the two groups showed no significant difference (P> 0.05). Conclusion PCT determination contributed to early prediction of occurrence of severe infection in patients with acute cerebral apoplexy.