【摘要】：目的探討急性時相蛋白、降鈣素原及免疫指標(biāo)在膝關(guān)節(jié)置換術(shù)后早期感染患者中的檢測意義,為該類手術(shù)患者早期感染的診斷提供依據(jù)。方法將2014年12月-2016年5月醫(yī)院收治的36例膝關(guān)節(jié)置換術(shù)后早期感染設(shè)為A組,同時期的36例未發(fā)生感染的膝關(guān)節(jié)置換術(shù)患者為B組,36名健康人員為C組,比較3組受試人員的血清急性時相蛋白、降鈣素原及免疫指標(biāo),并比較A組淺層感染和深部感染患者的上述檢測指標(biāo)。結(jié)果 A組的血清急性時相蛋白指標(biāo)CRP、α1-AT、CER及α1-AG水平分別為(6.12±0.59)mg/L、(3.12±0.22)g/L、(564.24±32.78)mg/L及(118.98±12.45)mg/dl,其分別高于B組的(4.78±0.49)mg/L、(1.63±0.15)g/L、(419.78±28.75)mg/L、(92.34±9.73)mg/dl及C組的(2.21±0.25)mg/L、(0.59±0.05)g/L、(271.63±25.38)mg/L、(59.69±5.34)mg/dl,B組則高于C組;A組的血清降鈣素原高于B組及C組,B組則高于C組;免疫指標(biāo)A組差于B組及C組B組則差于C組,且A組深部感染患者則差于淺層感染患者,差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論急性時相蛋白、降鈣素原及免疫指標(biāo)在膝關(guān)節(jié)置換術(shù)后早期感染患者中的檢測意義較高,對于感染的早期檢測及感染情況的了解均有較高的價值。
[Abstract]:Objective to investigate the significance of detection of acute phase proteins, procalcitonin and immune markers in early infection patients after knee arthroplasty, and to provide evidence for the diagnosis of early infection in patients undergoing knee arthroplasty. Methods from December 2014 to May 2016, 36 patients with early infection after knee arthroplasty in our hospital were divided into group A and group C with 36 patients without infection in the same period. The serum levels of acute phase protein, procalcitonin and immunological indexes were compared among the three groups, and those of the patients with superficial infection and deep infection in group A were compared. 緇撴灉 A緇勭殑琛，

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