首页|血清HMGB1、IL-17水平及qSOFA评分联合应用于重症呼吸衰竭患者预后评估的效能

血清HMGB1、IL-17水平及qSOFA评分联合应用于重症呼吸衰竭患者预后评估的效能

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目的:分析血清高迁移率族蛋白B1(HMGB1)、白细胞介素-17(IL-17)水平及快速序贯器官衰竭(qSOFA)评分联合应用于重症呼吸衰竭患者预后评估的效能.方法:选取 2021 年 5 月至 2023 年 5 月该院收治的 124 例重症呼吸衰竭患者进行横断面研究,根据入院后 28 d生存情况将其分为生存组(n=87)与死亡组(n=37),入院后 12 h检测所有患者血清HMGB1、IL-17 水平,评估qSOFA评分,并采用受试者工作特征(ROC)曲线分析血清HMGB1、IL-17 水平及qSOFA评分单项及联合应用于重症呼吸衰竭患者预后评估中的效能.结果:生存组血清HMGB1、IL-17 水平和qSOFA评分均低于死亡组,差异有统计学意义(P<0.05);ROC曲线分析结果显示,血清HMGB1水平、IL-17水平、qSOFA评分单项及联合应用于重症呼吸衰竭患者预后评估的曲线下面积分别为0.869、0.832、0.784、0.957,均有一定预测价值,且联合应用的评估效能高于三者单项应用.结论:血清HMGB1 水平、IL-17 水平、qSOFA评分联合应用于重症呼吸衰竭患者预后评估的效能高于三者单项应用.
Efficiency of combined application of serum HMGB1,IL-17 levels and qSOFA score in prognosis evaluation of patients with severe respiratory failure
Objective:To analyze efficiency of serum high mobility group protein B1(HMGB1),interleukin-17(IL-17)levels and quick sequential organ failure(qSOFA)score in prognosis evaluation of patients with severe respiratory failure.Methods:A cross-sectional study was conducted on 124 patients with severe respiratory failure admitted to this hospital from May 2021 to May 2023.According to the 28-day survival situations after admission,they were divided into survival group(n=87)and death group(n=37).The serum HMGB1 and IL-17 levels were measured and the qSOFA scores were evaluated in all patients 12 hours after admission.The receiver operating characteristic(ROC)curve was used to analyze the efficiency of single and combine application of serum HMGB1,IL-17 levels and qSOFA score the in the prognosis evaluation of patients with severe respiratory failure.Results:The serum HMGB1 and IL-17 levels and the qSOFA scores in the survival group were lower than those in the death group,and the differences were statistically significant(P<0.05).The ROC curve analysis showed that the area under the curve of single and combine application of serum HMGB1 level,IL-17 level and qSOFA score in the prognosis evaluation of the patients with severe respiratory failure were 0.869,0.832,0.784 and 0.957,respectively,which had certain predictive value,and the evaluation efficiency of combined application was higher than that of single application.Conclusions:The efficiency of combined application of serum HMGB1 level,IL-17 level and qSOFA score in the prognosis evaluation of the patients with severe respiratory failure is higher than that of single application of the three.

High mobility group protein B1Interleukin-17Quick sequential organ failure scoreSevereRespiratory failurePrognosis

郭现玲

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开封市中心医院呼吸与危重症医学科,河南 开封 475000

高迁移率族蛋白B1 白细胞介素-17 快速序贯器官衰竭评分 重症 呼吸衰竭 预后

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(10)
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