河北医学2024,Vol.30Issue(4) :609-613.DOI:10.3969/j.issn.1006-6233.2024.04.015

血清白介素-6降钙素原及C反应蛋白水平与新生儿败血症预后的关系

Relationship between Serum IL-6 PCT and CRP Levels and Prognosis of Neonatal Sepsis

许爱华 顾涛 李云 方飞 王静
河北医学2024,Vol.30Issue(4) :609-613.DOI:10.3969/j.issn.1006-6233.2024.04.015

血清白介素-6降钙素原及C反应蛋白水平与新生儿败血症预后的关系

Relationship between Serum IL-6 PCT and CRP Levels and Prognosis of Neonatal Sepsis

许爱华 1顾涛 1李云 1方飞 1王静1
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作者信息

  • 1. 安徽省滁州市第一人民医院新生儿科, 安徽 滁州 239000
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摘要

目的:分析白介素-6(Interleukin,IL-6)、降钙素原(Procalcitonim,PCT)及C 反应蛋白(C-Reactive protein,CRP)与新生儿败血症预后的关系.方法:选取 2020 年 8 月至 2023 年 3 月我院收治的新生儿败血症患儿86 例为研究对象.分析治愈/好转组与死亡组的一般资料,对比两组患儿不同时期血清IL-6、PCT、CRP 水平,分析影响新生儿败血症患儿预后的相关因素.结果:86 例新生儿败血症患儿中,治愈/好转组有77 例患儿,死亡组有9 例患儿(死亡组患儿在12h内死亡 4 例,2d 死亡 2 例,3d死亡2 例,5d死亡1 例).在发病 12h、12~36h 内以及 7d 内,死亡组 IL-6>7pg/mL 比例、PCT>0.5ng/mL比例、CRP>10mg/mL比例均高于治愈/好转组,差异有统计学意义(P<0.05);两组性别、是否胎膜早破、是否为早产儿、有无黄疸、以及分娩方式等指标比较,差异无统计学意义(P>0.05);两组胎龄、出生时体重、0~6 岁小儿神经心理发育检查表比较,差异有统计学意义(P<0.05);经过多因素 Logistic 回归分析显示,0~6 岁小儿神经心理发育检查表、IL-6、PCT、CRP 是影响新生儿败血症预后的独立危险因素(P<0.001).结论:血清IL-6、PCT、CRP 水平是影响新生儿败血症患儿预后的相关因素,监测血清IL-6、PCT、CRP 水平,或可为临床调整新生儿败血症治疗策略提供可靠参考资料.

Abstract

Objective:To investigate the relationship between serum interleukin-6(IL-6),procalcito-nin(PCT),and C-reactive protein(CRP)levels and the prognosis of neonatal sepsis.Methods:A total of 86 neonates with sepsis admitted to our hospital from August 2020 to March 2023 were enrolled as the study subjects.The general data of the cured/improved group and the death group were analyzed.The serum IL-6,PCT,and CRP levels of the neonates in the two groups at different time points were compared,and the factors affecting the prognosis of neonates with sepsis were analyzed.Results:Among the 86 neonates with sepsis,there were 77 neonates in the cured/improved group and 9 neonates in the death group(4 neonates died within 12 hours,2 died within 2 days,2 died within 3 days,and 1 died within 5 days).The percentages of IL-6>7 pg/mL,PCT>0.5 ng/mL,and CRP>10 mg/mL in the death group were higher than those in the cured/improved group at 12 hours,12-36 hours,and 7 days after onset(P<0.05).There were no statistically sig-nificant differences in gender,premature rupture of membranes,preterm birth,jaundice,and delivery method between the two groups(P>0.05).The gestational age,birth weight,and Ages&Stages Questionnaires(ASQ)at 0-6 years old were significantly different between the two groups(P<0.05).Multivariate logistic regression analysis showed that ASQ at 0-6 years old,IL-6,PCT,and CRP were independent risk factors for the prognosis of neonatal sepsis(P<0.001).Conclusion:Serum IL-6,PCT,and CRP levels are related factors affecting the prognosis of neonates with sepsis.Monitoring serum IL-6,PCT,and CRP levels may pro-vide reliable references for clinical adjustment of treatment strategies for neonatal sepsis.

关键词

白介素-6/降钙素原/C反应蛋白/新生儿败血症/预后

Key words

IL-6/PCT/CRP/Neonatal sepsis/Prognosis

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基金项目

安徽省卫生健康委科研项目(2021)(AHWJ2021b005)

出版年

2024
河北医学
河北省医学会

河北医学

CSTPCD
影响因子:1.915
ISSN:1006-6233
参考文献量12
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