首页|PCT、IL-6联合PLT检测在烧伤脓毒症患者早期诊断中的应用

PCT、IL-6联合PLT检测在烧伤脓毒症患者早期诊断中的应用

Application of PCT and IL-6 combined with PCT detection in early diagnosis of patients with burn sepsis

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目的:探索降钙素原(PCT)、白介素-6(IL-6)联合血小板(PLT)检测在大面积烧伤合并脓毒症患者早期诊断中的应用价值.方法:回顾性分析医院收治的101例大面积烧伤患者的临床资料,依据是否合并脓毒症分为脓毒症组和对照组.比较两组患者烧伤后第3天PLT水平和第7天血清PCT及IL-6水平,绘制受试者工作特征(ROC)曲线分析血清PCT、IL-6、PLT联合检测在大面积烧伤患者早期脓毒症诊断中的应用价值.结果:脓毒症组患者血清PCT、IL-6水平均高于对照组,PLT水平低于对照组,差异均有统计学意义(P<0.05);ROC曲线分析结果显示,PCT、IL-6、PLT单项检测及联合检测的AUC分别为0.935、0.794、0.904、0.961.结论:PCT、IL-6、PLT在大面积烧伤患者早期诊断脓毒症中均具有较高的诊断价值,且联合检测的效率最佳,对临床早期诊断大面积烧伤患者合并脓毒症具有一定的价值.
Objective:To explore the application value of procalcitonin (PCT), interleukin-6 (IL-6) combined with platelet (PLT) detection in the early diagnosis of patients with extensive burn complicated with sepsis. Methods:A retrospective study was performed on the medical records of 101 patients with extensive burns who were admitted to the Hospital. Patients were categorized into two groups: a sepsis group and a control group, based on the presence or absence of sepsis. The levels of Platelets (PLT) on the third day and serum Procalcitonin (PCT) and Interleukin-6 (IL-6) on the seventh day were compared between the two groups. The value of combined detection of serum PCT, IL-6, and PLT in the early diagnosis of sepsis in patients with major burns was evaluated using Receiver Operating Characteristic (ROC) curve analysis.Results:The levels of serum PCT and IL-6 were higher in the sepsis group than those in the control group, while the level of PLT was lower, and the differences were statistically significant (P<0.05). The ROC curve analysis showed that the AUCs of the single and combined detection of PCT, IL-6, and PLT were 0.935, 0.794, 0.904, and 0.961, respectively.Conclusions:PCT, IL-6, and PLT all exhibit high diagnostic value in the early detection of sepsis in patients with extensive burns. The efficiency of their combined testing is optimal. This holds significant value for the early clinical diagnosis of sepsis in patients with extensive burns.

burndepsisprocalcitonininterlenkin-6blood platelet

董振波、王春华

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安徽医科大学第一附属医院烧伤科 安徽合肥 230022

烧伤 脓毒症 降钙素原 白细胞介素-6 血小板

炎症与免疫性疾病安徽省实验室开放基金(2021)

IMMDL202107

2024

安徽医专学报
安徽医学高等专科学校

安徽医专学报

影响因子:0.441
ISSN:2097-0196
年,卷(期):2024.23(1)
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