中国医药科学Issue(7):66-67,70,3.
BNP、TnT和TnI水平对预测重症脓毒症和脓毒症休克患者预后的临床意义
Clinical significance of BNP, TnT and TnI levels in predicting prognosis of patients with severe sepsis and septic shock
刘永锋1
作者信息
- 1. 河南省登封市人民医院重症医学科,河南登封452470
- 折叠
摘要
Abstract
Objective To investigate the significance of monitoring brain natriuretic peptide,troponin T and troponin I in predicting the prognosis of patients with severe sepsis and septic shock. Methods Clinical data of 58 patients with severe sepsis and septic shock were analyzed retrospectively, of which 28 patients had severe sepsis and 30 patients had septic shock.The patients'BNP,TnT and TnI levels on the day of definite diagnosis were monitored.The relationship between the BNP,TnT and TnI levels and the patients'prognosis was analyzed. Results The severe sepsis group had significantly lower TnT level than the septic shock group(P < 0.01). The dead patients had significantly higher BNP, TnT and TnI levels than the survived patients(P<0.01). BNP had statistical significance in predicting death(area under ROC was 0.794,P<0.01) and TNT had statistical significance in predicting death(area under ROC was 0.527,P < 0.05). Conclusion BNP and TnT have predictive effect for the prognosis of patients with severe sepsis and septic shock.关键词
脑利钠肽/肌钙蛋白T/肌钙蛋白I/脓毒症Key words
Brain natriuretic peptide/Troponin T/Troponin I/Sepsis分类
医药卫生引用本文复制引用
刘永锋..BNP、TnT和TnI水平对预测重症脓毒症和脓毒症休克患者预后的临床意义[J].中国医药科学,2014,(7):66-67,70,3.