腹部创伤患者发生感染与SIRS评分和血清CRP及PCT的相关性研究

发布时间：2018-08-05 13:41

【摘要】：目的探讨腹部创伤患者发生感染与预后及与全身炎症反应综合征(SIRS)评分、血清C-反应蛋白(CRP)及降钙素原(PCT)的相关性,为腹部创伤后感染的诊断及预后预测提供参考。方法选取2014年1月-2016年6月期间在医院诊治的腹部外伤患者200例,在入院时行SIRS评分及检测血清CRP及PCT,综合干预治疗,观察创伤后感染及预后。结果 200例患者发生创伤后感染者42例,感染率为21.00%;创伤后感染患者SIRS评分、血清CRP及PCT高于无感染患者;Spearman相关分析显示创伤后感染率、病死率、SIRS评分、CRP、PCT等指标间两两比较均有正相关性(P0.05)。结论腹部创伤患者创伤后感染率及病死率高,SIRS评分、血清CRP及PCT升高患者创伤后感染及病死风险性显著增高,以上指标对创伤后感染及预后预测有一定参考价值。
[Abstract]:Objective to investigate the relationship between infection and prognosis in patients with abdominal trauma, (SIRS) score of systemic inflammatory response syndrome, serum C-reactive protein (CRP) and procalcitonin (PCT) in order to provide a reference for the diagnosis and prognosis prediction of post-abdominal trauma infection. Methods 200 patients with abdominal trauma treated in hospital from January 2014 to June 2016 were selected. SIRS score and serum CRP and CRP were measured on admission. The infection after trauma and prognosis were observed. Results 42 cases of post-traumatic infection occurred in 200 patients, the infection rate was 21.00.The SIRS score, serum CRP and PCT of the patients with post-traumatic infection were higher than those of non-infected patients. The mortality and Sirs scores were positively correlated with those of CRP- PCT (P0.05). Conclusion the post-traumatic infection rate and mortality rate of abdominal trauma patients were higher than that of Sirs scores. Serum CRP and PCT levels were significantly higher in patients with post-traumatic infection and death risk. The above indexes had certain reference value in predicting post-traumatic infection and prognosis.
【作者单位】：海口市妇幼保健院消毒供应中心;海口市妇幼保健院护理部;海口市妇幼保健院外科;海南省人民医院外科;
【分类号】：R656

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