首页|TREM-1、PCT、CD64在脓毒症患儿中的诊断价值及应用小剂量激素对其影响

TREM-1、PCT、CD64在脓毒症患儿中的诊断价值及应用小剂量激素对其影响

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目的 探讨髓系细胞触发受体l(TREM-1)、降钙素原(PCT)、CD64在脓毒症患儿中的诊断价值及应用小剂量激素后对其影响研究.方法 选取2014年9月~2016年9月温州医科大学附属第三医院接诊的80例脓毒症患儿,其中严重脓毒症28例,一般脓毒症52例,并选择同期来本院体检的40例健康儿童,比较3组TREM-1、PCT、CD64水平;并通过随机数表法将80例脓毒症患儿随机分为观察组(n=40)和对照组(n=40),对照组给予常规治疗,观察组在对照组基础上给予氢化泼尼松治疗.治疗7d后,比较2组患儿治疗前、治疗后1、7d TREM-1、PCT、CD64水平.结果 严重脓毒症组和一般脓毒症组TREM-1、PCT、CD64水平均高于健康组(P<0.05),且严重脓毒症组TREM-1、PCT、CD64水平明显高于一般脓毒症组(P<0.05).治疗后,2组脓毒症患儿TREM-1、PCT、CD64水平均得到改善(P<0.05);观察组治疗后1、7d,TREM-1、PCT、CD64水平均低于对照组,差异均具有统计学意义(P<0.05).结论 TREM-1、PCT、CD64水平可作为早期诊断脓毒症患儿的检测指标,且应用小剂量糖皮质激素可有效降低脓毒症患儿TREM-1、PCT、CD64水平,有利于病情控制.
Diagnostic value of TREM-1, PCT and CD64 in children with sepsis disease and its effect on the application of low dose hormone
Objective To study the diagnostic value of TREM-1,PCT and CD64 in children with sepsis disease and its effect on the application of low dose hormone.Methods 80 cases children with septic disease who received therapy from September 2014 to September 2016 in the third affiliated hospital of wenzhou medical university,28 cases of severe sepsis disease,52 cases of general sepsis disease,and selected 40 cases of healthy children in our hospital during the same period,the levels of TREM-1,PCT,CD64 of three groups were compared.And through the random number table method,those 80 cases children with sepsis disease were divided into the observation group(n=40) and the control group(n=40),the control group was treated with routine treatment,while the observation group was treated with hydroprednisone on the basis of the control group,after treatment for seven days,the levels of TREM-1,PCT,CD64 of two groups were compared.Results The levels of TREM-1, PCT and CD64 in the severe sepsis disease group and general sepsis disease group were higher than the healthy group(P<0.05),and the levels of TREM-1, PCT and CD64 in severe sepsis disease group were significantly higher than the general sepsis disease group(P<0.05).After treatment,the levels of TREM-1,PCT and CD64 were improved in two groups of patients with sepsis disease(P<0.05),after treatment of one day and seven days,the levels of TREM-1,PCT and CD64 in observation group were lower than in the control group(P<0.05).Conclusion TREM-1,PCT,CD64 levels can be used as early detection in children with sepsis disease,low dose glucocorticoid can effectively reduce the expression of TREM-1,PCT and CD64 levels in children with sepsis,it's conducive to the disease control.

septic diseasechildrentriggeringreceptor expression on myeloid cell-1procalcitoninneutrophilsglucocorticoid

吴亮、林宗泽、金芳

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温州医科大学附属第三医院 儿科,浙江 温州 325200

浙江大学附属儿童医院 呼吸科,浙江 杭州 310000

脓毒症 患儿 髓系细胞表达的触发受体l 降钙素原 中性粒细胞 糖皮质激素

温州科技局计划项目

Y20140259

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(1)
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