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临床研究

降钙素原在血液透析患者导管相关性血行感染中的应用价值

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  • 福建省宁德市医院肾内科

收稿日期: 2012-06-04

  修回日期: 2012-12-13

  网络出版日期: 2013-02-12

The value of Procalcitonin for Catheter related bloodstream infection in Hemodialysis Patients

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Received date: 2012-06-04

  Revised date: 2012-12-13

  Online published: 2013-02-12

摘要

目的:研究降钙素原(PCT)在血液透析患者导管相关性血行感染(CRBSI)中的应用价值。方法:62例怀疑导管相关性血行感染的血液透析患者,采集血常规、C反应蛋白(CRP)、降钙素原血样后拔除导管,同时留取血培养及导管标本。结果:CRBSI组和非CRBSI组拔管时的血清PCT水平分别为7.16±5.84μg/L和0.97±1.44μg/L(P<0.001),而血白细胞计数(WBC)值及CRP值则无明显差别。结论:PCT在早期诊断CRBSI方面具有较高的临床价值。

本文引用格式

王芳,潘淼,李大勇,刘小华, 陈晶,谢鸣部,黄智敏,郑佩兰,韦永光 . 降钙素原在血液透析患者导管相关性血行感染中的应用价值[J]. 中国血液净化, 2013 , 12(02) : 74 -77 . DOI: 10.3969/j.issn.1671-4091.2013.02.00

Abstract

Objective: To study the value of procalcitonin for catheter related bloodstream(CRBSI)infection in hemodialysis patients. Methods: Blood samples of 62 hemodialysis patients who suspected catheter related bloodstream infection were obtained for procalcitonin level、c-reactive protein level、hemoculture and blood routine examination, catheter were also obtained for culture. Results: The procalcitonin level of Patients with CRBSI and without CRBSI were 7.16±5.84μg/L and 0.97±1.44μg/L(P<0.001), there is no significant difference Between Patients with CRBSI and without CRBSI in the level of white blood cells and C-reactive protein. Conclusions: PCT was a valuable early diagnostic parameter for CRBSI.
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