PCT、Hs-CRP和AIS-APS对SAP风险评估的价值  

Value of PCT,Hs-CRP and AIS-APS to evaluate the risk of stroke-associated pneumonia

作　　者：朱刚[1] 钟平[1] 刘彬[1] 马争飞[1] 苏永兴[1] ZHU Gang ZHONG Ping LIU Bin MA Zheng-fei SU Yong-xing(Department of Neuro-intensive Care Unit, Municipal Hospital of Suzhou, Suzhou, Anhui 234000, Chin)

机构地区：[1]安徽医科大学宿州临床学院(宿州市立医院)神经重症监护室,安徽宿州234000

出　　处：《临床肺科杂志》2017年第1期82-84,共3页Journal of Clinical Pulmonary Medicine

基　　金：院级基金项目(No 2015A028)

摘　　要：目的探讨降钙素原(PCT)、超敏C反应蛋白(Hs-CRP)及急性缺血性卒中相关性肺炎评分(AIS-APS)对缺血性卒中相关性肺炎(SAP)风险评估的价值。方法选择2014年6月-2016年3月在我院神经重症监护室住院患者共60例,根据是否患SAP分为SAP组和对照组,入院时测定每位患者血清PCT、Hs-CRP及进行AIS-APS量表检查。根据AIS-APS分为低危组(0-13分)、中危组(14-20分)、高危组(21-35分)。结果共24例患者发生SAP(40.0%),与对照组相比,SAP组PCT、Hs-CRP、AIS-APS均升高(t_P=25.92 P<0.05;t_h=2.05P<0.05;t_a=12.66 P<0.05)。低危组、中危组、高危组SAP发生率差异具有统计学意义(χ~2=20.77 P<0.05)。结论 PCT、Hs-CRP、AIS-APS对SAP风险评估具有重要价值,AIS-APS为SAP提供了分层诊治的依据。Objective To explore the value of procalcitonin （PCT）, high-sensitive C-reactive protein （Hs- CRP） and acute ischemie stroke-associated pneumonia score （AIS-APS） to evaluate the risk of stroke-associated pneumonia （PCT）. Methods From June 2014 to March 2016, 60 patients with acute stroke were consecutively enrolled from the neonatal intensive unit （NICU） in our hospital. The patients were divided into the SAP group and the control group. The serum PCT and Hs-CRP were immediately tested and AIS-APS was assessed when they were in hospital. The patients who had SAP were divided into low-risk （0 - 13 points）, intermediate-risk （ 14 -20 points） and high-risk （21 -35 points）, according to AIS-APS. Results There were 24 patients with SAP （40.0%）. The levels of PCT, Hs-CRP and AIS-APS in the SAP group were significantly higher than those in the control group （t = 25.92, P 〈0. 05 ; t =2.05, P 〈0. 05 ; t = 12.66, P 〈0. 05）. There was significantly correlation with the incidence of SAP among low-risk, intermediate-risk and high-risk （ X2 = 20.77, P 〈 0.05 ）. Conclusion PCT, Hs-CRP and AIS-APS have important value on evaluating the risk of stroke-associated pneumonia, and AIS-APS provides evidences for different treatment.

关 键 词：降钙素原 超敏C反应蛋白 AIS-APS 卒中相关性肺炎 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R563.1[医药卫生—临床医学]