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生物标志物在脓毒症相关急性肾损伤中的应用

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脓毒症相关急性肾损伤(SA-AKI)是脓毒症常见并发症之一,是脓毒症所致的与长期不良后果相关的一种急性功能及器官损害综合征,其发病率呈逐渐上升趋势,且病死率远高于单纯脓毒症.利用生物标志物早期识别SA-AKI和预测疾病进展并给予相应的干预措施,对于降低SA-AKI死亡风险及长期后遗症的发生至关重要.截止目前,鲜见可特异性识别SA-AKI的生物标志物被提出,临床仍以急性肾损伤(AKI)相关生物标志物来识别SA-AKI的发生或预测其进展,因此,了解生物标志物在AKI与SA-AKI发生或变化中的差异所在,是评估AKI相关生物标志物在识别SA-AKI发生及预测其进展中的关键环节.现通过概述AKI相关生物标志物在AKI与SA-AKI发生发展中的差异,为识别SA-AKI发生及预测其进展的生物标志物提供参考.
Significance of biomarkers associated in sepsis-associated acute kidney injury
Sepsis associated acute kidney injury(SA-AKI)is one of the common complications of sepsis,a syndrome of acute functional and organ damage associated with long-term adverse outcomes due to sepsis,and its incidence is gradually increasing and its mortality rate is much higher than that of sepsis alone.Early identification of SA-AKI and prediction of disease progression using biomarkers and corresponding interventions are essential to reduce the risk of death and long-term sequelae of SA-AKI.Until now,few biomarkers have been proposed to specifically identify SA-AKI,clinical use of biomarkers associated with acute kidney injury(AKI)to identify the occurrence or predict the progression of SA-AKI is essential to understand the differences between AKI-associated biomarkers produced or changed in AKI and SA-AKI,and to evaluate the role of AKI-associated biomarkers in identifying SA-AKI related biomarkers in identifying the occurrence and predicting the progression of SA-AKI is a key aspect.This article outlines the differences between AKI-related biomarkers in the occurrence and progression of AKI and SA-AKI,and provides a reference for identifying biomarkers for the occurrence and predicting the progression of SA-AKI.

SepsisSepsis-associated acute kidney injuryBiomarkersCreatinineNeutrophil gelatinase associated lipocalin

柳逸萍、刘晓姝

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电子科技大学医学院,四川成都 610054

四川省医学科学院,四川省人民医院呼吸与危重症医学科,四川成都 610072

脓毒症 脓毒症相关急性肾损伤 生物标志物 肌酐 中性粒细胞明胶酶相关脂质运载蛋白

四川省科技计划项目四川省干部保健科研课题

2022YFS0265川干研 2017-231

2024

中国中西医结合急救杂志
中国中西医结合学会

中国中西医结合急救杂志

CSTPCD
影响因子:1.925
ISSN:1008-9691
年,卷(期):2024.31(1)
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