局解手术学杂志2017，Vol.26Issue(8)：556-560,5.DOI:10.11659/jjssx.04E017026
IL-6、CRP及PCT在兔人工股骨头置换术后感染早期诊断中的应用
Application of IL-6,CRP and PCT in early diagnosis of infection after artificial femoral head replacement in rabbits
摘要
Abstract
Objective To investigate the clinical significance of serum interleukin-6(IL-6),C-reactive protein(CRP) and procalcitonin(PCT) in early diagnosis of postoperative infection after artificial femoral head replacement in rabbits.Methods Selected 64 healthy New Zealand white rabbits,and randomly divided them into the experimental group and the control group,with 32 cases in each group.All of the 64 rabbits underwent left femoral hip replacement.Rabbits in the experimental group were injected with staphylococcus aureus into the left hip joint immediately after artificial femoral head replacement,while rabbits in control group were injected with the same amount of saline.The changes of IL-6,CRP and PCT in synovial fluid of all rabbits were measured.Took synovial fluid and 3 pieces of synovial membrane to make bacterial culture 9 days after surgery.Results The bacterial culture of the experimental group was positive for staphylococcus aureus while it was negative in the control group.One day after surgery,the levels of IL-6,CRP and PCT in synovial fluid of two groups were significantly higher than those before operation(P<0.05),but the difference between the two groups was not statistically significant(P>0.05).The levels of IL-6,CRP and PCT in the synovial fluid of the experimental group were significantly higher than those of the control group at the 3rd,6th and 9th day after operation(P<0.05).There was a significant increase in IL-6,CRP and PCT levels in the two groups at the first and 3rd day after operation(P<0.05).At 6th days after operation,the levels of IL-6,CRP and PCT in synovial fluid of experimental group continued to increase(P<0.05),and they began to decrease in the control group (P<0.05).PCT gradually restored preoperative level at 6th days after operation(P>0.05),and IL-6 and CRP gradually restored preoperative level at 9th days after operation(P>0.05).The sensitivity and specificity of IL-6,CRP and PCT combined test were 96.9% and 90.6% respectively,which were significantly higher than those of individual indexes.Conclusion Combined detection of serum IL-6,CRP and PCT levels in the infection model of artificial femoral head replacement can provide some help for the early diagnosis of infection after clinical hip arthroplasty.关键词
白介素-6/C-反应蛋白/降钙素原/假体周围感染/兔人工股骨头Key words
interleukin-6/C-reactive protein/procalcitonin/peripheral infection/rabbit artificial femoral head分类
医药卫生引用本文复制引用
郭超,刘欣伟,韩文锋,张敬东,李如珍,张旭腾,余昆,张叶兵..IL-6、CRP及PCT在兔人工股骨头置换术后感染早期诊断中的应用[J].局解手术学杂志,2017,26(8):556-560,5.基金项目
辽宁省科学技术计划项目面上项目(2015020446) （2015020446）
