降钙素原作为脓毒症的预后指标和早期生物标志物的研究

C. G. Chivate, Gajanaan Belwalkar, R. Patil, Jayashree C. Awalekar, S. S. Kumbhar, Shubhaangi V. Deshmukh
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摘要

目的:探讨脓毒症患者PCT升高的规律。看看PCT在严重感染中的上升是否比其他败血症指标更早。观察PCT水平是否可用于脓毒症严重程度分级。检查PCT水平的升降是否与预后有任何关系。PCT是一种非常好的脓毒症生物标志物。PCT(原降钙素)是一种新的生物标志物,在世界范围内被用于诊断和分级细菌性败血症。PCT区分感染性和非感染性疾病,有助于败血症和感染性休克的预后。材料与方法:本研究纳入100例内科或外科住院患者。计算PCT及其他脓毒症标志物,并对结果进行比较。脓毒症的严重程度根据临床标准和PCT水平进行分级。观察结果:PCT值与整个样本的脓毒症程度相关良好,中位数为8.89 ng/ml。24例患者PCT水平正常,4例患者PCT水平异常。PCT水平超过7纳克/毫升与更高的死亡风险有关。与革兰氏阳性脓毒症相比,革兰氏阴性脓毒症的PCT值更高。持续上升的PCT读数表明脓毒症的严重程度更大,以及这类患者的高死亡率。结论:PCT是一种可以早期发现的脓毒症生物标志物。在严重脓毒症中,PCT可作为预后指标。PCT是脓毒症分级和其他临床特征的极好方法。
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Study on Procalcitonin as a Prognostic Indicator and as an Early Biomarker in Grading of Sepsis
Aims and Objectives: To investigate the pattern of PCT elevation in sepsis.To see if PCT rises earlier in severe infections than other sepsis indicators. To see if PCT levels may be used to grade sepsis severity. To examine if the rise and fall of PCT levels has any bearing on prognosis.  Introduction: PCT is a very good biomarker of sepsis. PCT (Procalcitonin) is a new biomarker that is being utilised to diagnose and grade bacterial sepsis all over the world.PCT distinguishes between infectious and non-infectious disorders and aids in sepsis and septic shock prognosis. Materials and Methods: The study included 100 patients admitted to medical or surgical departments. The PCT was calculated, as well as other sepsis markers, and the results were compared. The severity of sepsis was graded based on clinical criteria as well as PCT levels. Observations: PCT values associated well with the degree of sepsis in the entire sample, with a median of 8.89 ng/ml. Normal PCT levels were detected in 24 patients, while very high PCT values were noted in 4 patients.PCT levels more than 7 ng/ml were linked to a higher risk of death. When compared to Gram positive sepsis, Gram negative sepsis showed higher PCT values. Consistently rising PCT readings suggested that sepsis severity was greater, as well as a high fatality rate in this class. Conclusions: PCT is a sepsis biomarker that can be detected early.In severe sepsis, PCT can be utilised as a prognostic indicator.PCT is an excellent measure for grading sepsis and other clinical characteristics.
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