创伤伤员外周血炎症指标的临床分析
Clinical analysis of peripheral blood inflammatory markers in trauma patients
阿合买提江·帕哈丁 1郭飞1
作者信息
- 1. 新疆医科大学第一附属医院,乌鲁木齐 830054
- 折叠
摘要
目的 探索不同程度创伤患者及手术对于外周血液炎症指标的影响.方法 选取我院2016年1月1日-12月31日收治的186名创伤患者,按照ISS标准分为轻伤,重伤和危重伤三组,收集患者临床在资料后比较外周血炎症指标变化.结果 三组患者一般资料无显著性差异,相比于轻度损伤及中度损伤组,危重损伤组患者外周血白细胞、中性粒细胞水平、降钙素原、白介素6、C反应蛋白水平升高(P<0.05);相比于未手术患者,手术治疗1d后患者白细胞数、中性粒细胞数及百分比、降钙素原升高,手术7d后白细胞数、中性粒细胞数升高(P<0.05).结论 创伤患者外周血炎症细胞水平与伤情严重程度相关,且手术后患者炎症水平升高.
Abstract
Objective To explore the effects of different degrees of trauma patients and surgery on peripheral blood inflammatory indexes.Methods:A total of 186 trauma patients admitted to our hospital from January 1,2016 to December 31,2016 were selected and divided into three groups according to the ISS standard:mild injury,severe injury and critical injury.The clinical data of the pa-tients were collected and the changes of peripheral blood inflammatory indexes were compared.Results:There was no significant differ-ence in the general data of the three groups of patients.Compared with the mild injury group and the moderate injury group,the periph-eral blood leukocytes,neutrophil levels,procalcitonin,interleukin-6 and C-reactive protein levels increased in the critical injury group(P<0.05).Compared with the non-surgical patients,the number of white blood cells,the number and percentage of neutrophils,and pro-calcitonin increased after surgery 1d,and the number of white blood cells and neutrophils increased after surgery 7d(P<0.05).Discus-sion:The level of inflammatory cells in the peripheral blood of trauma patients is related to the severity of injury,and the inflammatory level of patients after surgery increases.
关键词
炎症指标/创伤/手术Key words
inflammatory index/trauma/surgery引用本文复制引用
出版年
2024
NETL
NSTL
万方数据