高级检索

    脑外伤患者血清降钙素原、白介素-6的动态变化及其临床意义

    The dynamic changes of procalcitonin and interleukin-6 in brain trauma patients and its clinical significance

    • 摘要: 目的探讨血清降钙素原(PCT)、白介素-6(IL-6)在脑外伤患者中的动态变化及预后评估价值。方法随机选取60例脑外伤患者,分别于患者入院第1、3、5、7、9天晨采集血液标本,检测血清PCT、IL-6、C反应蛋白(CRP)水平,并收集患者临床资料及随访28天后的生存情况。结果低格拉斯评分(GCS)患者第1天PCT、IL-6较高GCS患者明显升高,而CRP在2组之间无明显变化;并发脓毒症患者的PCT、IL-6在第3、5、7天较非脓毒症患者明显升高。第1天高PCT患者(PCT>2 μg/L)较低PCT患者机械通气时间及ICU住院时间更长,28天病死率更高。结论脑外伤患者血清PCT及IL-6水平与入院时脑外伤严重程度有密切联系;动态联合监测PCT及IL-6的变化可能有效地预测脑外伤患者脓毒症的发生及控制情况,对其预后评估有一定价值。

       

      Abstract: ObjectiveTo discuss the dynamic changes of procalcitonin (PCT) and interleukin-6 (IL-6) in brain trauma patients and its prognosis. MethodsA total of 60 patients who were admitted into our hospital due to brain trauma were enrolled into the current study, and their blood samples were collected on Days 1, 3, 5, 7 and 9 when admission. Their levels of serum PCT and IL-6, C-reactive protein (CRP) were measured. Their clinical data were re-recorded and 28-day survival was followed up. ResultsPatients with low Glasgow Coma Scale (GCS) scores produced remarkably higher levels of serum PCT and IL-6 on Day 1 than those with high GCS scores (P<0.05). There was no significant difference in serum CRP level between the two groups. Brain trauma patients with sepsis produced remarkably higher levels of serum PCT and IL-6 on Days 3, 5 and 7 than those without sepsis (P<0.05). Patients with high levels of PCT on Day 1 (PCT>2 μg/L) showed longer ICU stay and ventilation duration with a higher 28-day mortality. ConclusionsThe levels of serum PCT and IL-6 are closely related with the severity of brain trauma after admission. Dynamic determination of serum PCT and IL-6 is a useful approach to predict injury severity and the incidence of sepsis and complications in patients with brain trauma.

       

    /

    返回文章
    返回