重症全身性感染患者急性肾损害超声早期诊断的临床评价

发布时间：2018-05-04 11:15

本文选题：超声早期诊断 + 重症全身性感染　；参考：《中华医院感染学杂志》2016年08期

【摘要】：目的研究分析重症全身性感染患者急性肾损害(AKI)超声早期诊断的临床评价,为急性肾损害的确诊提供依据。方法选择2010年10月-2015年10月于医院住院治疗的重症感染患者62例进行研究,根据第7天的超声诊断结果及血肌酐(Scr)检测结果进行分组,合并AKI患者30例为观察组,未合并AKI患者32例为对照组,对比两组患者相关指标水平,数据采用SPSS 20.0软件进行统计分析。结果观察组在第1天及第7天的肾叶间动脉阻力指数(RI)均显著高于对照组同时期的水平;观察组在第7天的Scr水平显著高于第1天及对照组第7天时的水平;超声检查真阳性28例,真阴性29例;Scr检测真阳性21例,真阴性20例;早期超声检查的敏感度、特异度及准确度均分别高于Scr检测,差异均有统计学意义(P0.05)。结论利用超声在早期时评价重症全身性感染者是否合并AKI具有较高的准确性,临床应用价值较好,值得推广。
[Abstract]:Objective to study the clinical evaluation of early diagnosis of acute renal damage (AKI) in patients with severe systemic infection and to provide evidence for the diagnosis of acute renal damage. Methods Sixty-two patients with severe infection who were hospitalized in hospital from October 2010 to October 2015 were studied. According to the results of ultrasound diagnosis and creatinine (creatinine) detection on the 7th day, 30 patients with AKI were divided into two groups. 32 patients without AKI were taken as control group. The data were analyzed by SPSS 20.0 software. Results the resistance index (RI) of the renal interlobar artery in the observation group was significantly higher than that in the control group on the 1st and 7th day, and the level of Scr in the observation group on the 7th day was significantly higher than that in the control group on the 7th day and on the 7th day in the control group. The sensitivity, specificity and accuracy of early ultrasound examination were higher than that of Scr, and the difference was statistically significant (P 0.05). Conclusion Ultrasonography has high accuracy in evaluating severe systemic infection with AKI in the early stage, and is worth popularizing because of its good clinical value.
【作者单位】：新疆石河子医学院第一附属医院超声科;新疆医科大学第六附属医院超声科;新疆石河子医学院第一附属医院ICU科;
【基金】：新疆维吾尔自治区科研计划重点基金资助项目(XJEDU2004I25)
【分类号】：R459.7;R445.1

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