血清降钙素原与不完全川崎病合并冠状动脉损害关系的研究  

The relationship between serum procalcitonin and coronary artery lesion secondary to incomplete Kawasaki disease

作　　者：李湘津[1] 李玉宁 颜娟[2] Li Xiangjin;Li Yuning;Yan Juan(Department of Pediatrics,the First Hospital of Lanzhou University,Lanzhou,Gansu,730000,China;Gansu University ofTraditional Chinese Medicine,Lanzhou,Gansu,730000,China)

机构地区：[1]兰州大学第一医院儿科,甘肃兰州730000 [2]甘肃中医药大学,甘肃兰州730000

出　　处：《当代医学》2018年第18期88-90,共3页Contemporary Medicine

摘　　要：目的评价不完全川崎病(IKD)患儿血清降钙素原(PCT)水平对冠状动脉损害(CAL)的预估价值。方法将本院100例IKD患儿分为CAL组(n=32)和无CAL组(n=68)。结果 CAL组的PCT升高比例及PCT水平均高于无CAL组,两组比较差异有统计学意义(P<0.05)。多因素logistic回归分析发现高PCT水平是IKD患儿并发CAL的独立危险因素(比值比1.08,95%可信区间1.03~1.14)。结论血清PCT是预测IKD患儿发生CAL的独立预测因素。Objective To investigate the predictive effect of serum procalcitonin and coronary artery lesion（CAL） secondary to incomplete Kawasaki disease（IKD）. Methods One hundred patients diagnosed with IKD were entered into the trial. Enrolled patients were divided to CAL and non-CAL groups. Results Both the serum PCT level and the proportion of positive PCT value in CAL group were statistically higher than that in non-CAL groups（P〈0.05）. Multiple logistic regression analysis showed that high PCT level independently predict the incidence of CAL in patients with IKD（odds ratio 1.08, 95% confidence interval 1.03-1.14）. Conclusion High PCT level was an independent predictor for CAL incidence in patients with IKD.

关 键 词：降钙素原 川崎病 冠状动脉损害 

分 类 号：R725.4[医药卫生—儿科]