本文選題：前白蛋白 + C反應(yīng)蛋白值��； 參考：《重慶醫(yī)學(xué)》2014年05期

【摘要】：目的探討血清前清蛋白(PAB)、C反應(yīng)蛋白(CRP)及載脂蛋白A1(Apo A1)在評(píng)估重癥肺炎患者預(yù)后中的價(jià)值。方法選取63例重癥肺炎患者,檢測(cè)入院后24h內(nèi)空腹血清PAB、CRP及Apo A1,并計(jì)算急性生理學(xué)與慢性健康狀況評(píng)分Ⅱ(APACHEⅡ);按患者APACHEⅡ評(píng)分值將患者分為兩組(20分為A組,≥20分為B組),分析兩組患者多器官功能障礙綜合征(MODS)發(fā)生率和病死率。將患者分為MODS組及非MODS組,并根據(jù)轉(zhuǎn)歸將患者分為存活組和死亡組,比較各組患者的血清PAB、CRP及Apo A1水平的差異。結(jié)果 B組MODS發(fā)生率和病死率(57.9%,47.4%)均顯著高于A組(24.0%,16.0%),差異有統(tǒng)計(jì)學(xué)意義(P0.01,P0.05)。MODS組[(134.13±36.20)mg/L,(0.62±0.21)g/L]及死亡組[(129.05±52.24)mg/L,(0.76±0.29)g/L]PAB、Apo A1分別低于非MODS組[(215.03±72.08)mg/L,(1.06±0.39)g/L]及存活組[(185.52±57.63)mg/L,(1.15±0.36)g/L],差異有統(tǒng)計(jì)學(xué)意義(P0.05),而MODS組(102.37±35.65)mg/L及死亡組(96.37±34.72)mg/L CRP分別高于非MODS組(69.68±32.92)mg/L及存活組(62.94±38.36)mg/L(P0.05)。結(jié)論血清PAB、CRP和Apo A1這3種急性時(shí)相蛋白對(duì)于評(píng)估重癥肺炎患者病情的危重程度及預(yù)后具有一定的價(jià)值。
[Abstract]:Objective to evaluate the prognostic value of serum prealbumin A1(Apo C reactive protein (A1(Apo) and apolipoprotein A 1 (apolipoprotein A 1) in patients with severe pneumonia. Methods Sixty-three patients with severe pneumonia were selected to measure the fasting serum levels of Apo A1and PABM-CRP within 24 hours after admission, and to calculate the acute physiology and chronic health status 鈪，

本文編號(hào)：1810059