首页|C反应蛋白、SAA对尿毒症透析患者微炎症状态的诊断价值

C反应蛋白、SAA对尿毒症透析患者微炎症状态的诊断价值

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目的 研究C-反应蛋白(CRP)与血清淀粉样蛋白A(SAA)对尿毒症透析患者微炎症状态的诊断价值.方法 以 2022 年1 月-2023 年 11 月于上饶市中医院行透析治疗的 60 例尿毒症患者为研究对象,将存在微炎症状态的 34 例患者设为微炎症组,非炎症患者 26 例设为非炎症组,均行CRP、SAA检测.比较尿毒症患者透析前与透析后的CRP、SAA水平,对比微炎症组与非炎症组患者CRP、SAA水平;绘制受试者工作特征曲线(ROC),分析CRP、SAA对尿毒症透析患者微炎症状态的诊断价值.结果 尿毒症患者透析后CRP、SAA水平高于透析前(P<0.05);微炎症组CRP、SAA水平高于非炎症组(P<0.05);ROC曲线显示,CRP、SAA对尿毒症透析患者微炎症状态具有确切诊断价值(AUC>0.5,P<0.05),且两者联合检测的AUC值高于其单独检测(P<0.05).结论 CRP、SAA对尿毒症透析患者微炎症状态具有确切诊断价值,两者联合检测诊断效能更高.
Diagnostic Value of C-reactive Proteinand SAA in Micro-inflammatory State of Uremic Dialysis Patients
Objective To study the diagnostic value of C-reactive protein(CRP)and serum amyloid A(SAA)for microinflammatory state in uremic dialysis patients.Methods From January 2022 to November 2023,60 patients with uremia who underwent dialysis treatment in Shangrao Hospital of Traditional Chinese Medicine were selected as the research objects.34 patients with micro-inflammatory state were set as micro-inflammatory group,and 26 patients with non-inflammatory state were set as non-inflammatory group.CRP and SAA were detected in all patients.The levels of CRP and SAA in uremic patients before and after dialysis were compared.The levels of CRP and SAA in the micro-inflammatory group and the non-inflammatory group were compared.The receiver operating characteristic curve(ROC)was drawn to analyze the diagnostic value of CRP and SAA in the micro-inflammatory state of uremic dialysis patients.Results The levels of CRP and SAA in uremic patients after dialysis were higher than those before dialysis(P<0.05).The levels of CRP and SAA in the micro-inflammation group were higher than those in the non-inflammation group(P<0.05).ROC curve showed that CRP and SAA had definite diagnostic value for microinflammatory state in uremic dialysis patients(AUC>0.5,P<0.05),and the AUC value of combined detection was higher than that of single detection(P<0.05).Conclusion CRP and SAA have definite diagnostic value for micro-inflammatory state in uremic dialysis patients,and the combined detection of CRP and SAA has higher diagnostic efficiency.

HemodialysisMicro-inflammatory stateC-reactive proteinSerum amyloid protein A

杨俊

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上饶市中医院检验科,江西 上饶 334000

尿毒症 血液透析 微炎症状态 C-反应蛋白 血清淀粉样蛋白A

2024

医学信息
国家卫生部信息化管理领导小组 中国电子学会中国医药信息学分会 陕西文博生物信息工程研究所

医学信息

影响因子:0.161
ISSN:1006-1959
年,卷(期):2024.37(23)