本文選題：膿毒癥 + 腦鈉肽�。� 參考：《中國現(xiàn)代醫(yī)學(xué)雜志》2017年17期

【摘要】：目的探討早期膿毒癥患者腦鈉肽(BNP)的相關(guān)影響因素。方法選取膿毒癥患者123例,按照血培養(yǎng)結(jié)果分為血培養(yǎng)陽性組和血培養(yǎng)陰性組;按照細菌培養(yǎng)結(jié)果分為革蘭陰性菌感染組和革蘭陽性菌感染組;對實驗中兩組患者的年齡、白細胞(WBC)、C反應(yīng)蛋白(CRP)、降鈣素原(PCT)、APACHEⅡ評分、左室射血分數(shù)(LVEF)、肌酐、乳酸、血小板及BNP進行多元回歸分析。結(jié)果血培養(yǎng)陽性組的BNP、CRP、WBC、PCT、血小板及乳酸均高于血培養(yǎng)陰性組;革蘭陰性菌感染組的APACHEⅡ評分、BNP、乳酸及PCT高于革蘭陽性菌感染組;兩組患者LEVF比較,差異無統(tǒng)計學(xué)意義(P0.05);多元回歸分析提示PCT是BNP的主要影響因素。結(jié)論早期膿毒癥患者BNP與心功能無關(guān),革蘭陰性菌感染患者BNP高于革蘭陽性菌感染患者,PCT是導(dǎo)致BNP增加的主要影響因素。
[Abstract]:Objective to investigate the related factors of brain natriuretic peptide (BNP) in patients with early sepsis. Methods 123 patients with sepsis were divided into two groups according to the results of blood culture: blood culture positive group and blood culture negative group; bacteria culture result divided into Gram-negative bacteria infection group and Gram-positive bacterial infection group. Multivariate regression analysis was performed for WBC C reactive protein (CRP), procalcitonin (PCT) and Apache 鈪，

本文編號：1780726