摘要
目的:分析降钙素原(PCT)对经皮肾镜取石术(PCNL)术后SIRS的早期诊断价值,为SIRS的临床诊断及治疗提供参考。方法:选取2017年1月-2019年12月在笔者所在医院接受PCNL治疗的320例上尿路结石患者。根据患者术后是否发生SIRS,分为对照组(非SIRS组)285例及观察组(SIRS组)35例,所有患者均于术前、术后2 h采集血液标本,进行CRP、WBC、PCT等指标检测。结果:术后2 h,观察组患者的CRP、WBC、PCT水平均明显高于对照组(P<0.05);绘制ROC曲线,PCT诊断的灵敏度、特异度均明显高于CRP、WBC(P<0.05)。结论:PCT在PCNL术后SIRS早期诊断方面具有较高敏感性及特异性,是一种可靠的评价指标。
Objective:To analyze the value of procalcitonin(PCT)in the early diagnosis of systemic inflammatory response syndrome(SIRS)after percutaneous nephrolithotomy(PCNL),and provide a reference for the clinical diagnosis and treatment of SIRS.Method:A total of 320 patients with upper urinary calculi who underwent PCNL treatment in our hospital from January 2017 to December 2019 were selected.According to whether patients had SIRS after surgery,they were divided into the control group(non-SIRS group)with 285 cases,and the observation group(SIRS group)with 35 cases.All patients were collected blood samples before and 2 hours after surgery for CRP,WBC,PCT indicator detection.Result:At 2 hours after surgery,the levels of CRP,WBC,and PCT in the observation group were significantly higher than those in the control group(P<0.05).The ROC curve was plotted,and the sensitivity and specificity of PCT diagnosis were significantly higher than those of CRP and WBC(P<0.05).Conclusion:PCT has high sensitivity and specificity in the early diagnosis of SIRS after PCNL,and it is a reliable evaluation index.
作者
杨代俊
雷玉
YANG Daijun;LEI Yu(Qianjiang Hospital,the People’s Hospital of Wuhan University,Qianjiang 433100,China;不详)
出处
《中外医学研究》
2020年第19期71-73,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
全身炎症反应综合征
经皮肾镜取石术
降钙素原
Systemic inflammatory response syndrome
Percutaneous nephrolithotomy
Procalcitonin
