C反应蛋白在严重肝病继发感染诊治中的价值分析.pdfVIP

论著·临床辅助检查 CHINESECOMMUNITYDOCTORS C反应蛋白在严重肝病继发感染诊治中的价值分析 墙建 408300重庆市垫江县中医院 doi:10.3969/j.issn.1007-614x.2015.4.69 摘 要 目的：探析C反应蛋白(CRP)在严重肝病患者续发感染诊治中的应用及其临床价值。方法：收治病毒性肝炎 出现继发性感染患者86例，所有患者均采用舒巴坦以及头孢派酮进行联合治疗。入院后第2天以及发生继发感染后 第3天进行采血，比较不同时期患者血清中CRP水平的不同。结果：重型肝炎以及肝硬化失代偿患者感染前后以及 感染后和经治疗后，CRP之间的差异有统计学意义(P＜0.05)。结论：重型肝炎和肝硬化失代偿患者的血清C反应蛋 白可以有效反映出患者的感染程度，让肝病患者的继发感染情况得以早期发现，避免疾病的进一步发展。同时，还 需要严密监测患者的CRP水平，对抗生素以及各种药物的应用情况予以调整，为患者继发感染的临床治疗提供指 导，预估患者的预后情况，可在严重肝病患者的临床诊治过程中发挥重要作用，临床价值较大。 关键词 C反应蛋白；严重肝病；续发感染；检测 Value analysis of C reactive protein in the diagnosis and treatment of severe liver disease complicated with infection QiangJian TheTraditionalChineseMedicineHospitalofDianjiangCounty,ChongqingCity408300 Abstract Objective:ToexploretheapplicationanditsclinicalvalueofCreactiveproteininthediagnosisandtreatmentof severeliverdiseasecomplicatedwithinfection.Methods:86patientswithviralhepatitiscomplicatedwithinfectionwereselected. Allpatientsweretreatedwithsulbactamcombinedwithcefoperazone.Bloodwascollectedinseconddaysafteradmissionand thirddaysaftersecondaryinfection.WecomparedpatientswithserumCRPlevelindifferentperiod.Results:Inseverehepatitis anddecompensatedlivercirrhosispatients,beforeandafterinfectionandafterinfectionandbeforeandaftertreatment,therewere significant differences in CRP,and the difference was statistically significant(P＜.05).Conclusion:In severe hepatitis and decompensatedlivercirrhosispatients,serumCreactiveproteincaneffectivelyreflectthedegreeofinfectioninpatientswithliver disease.Patientswithsecondaryinfectioncanbefoundearly,toavoidthefurtherdevelopmentofthedisease.Atthesametime,we alsoneedtocloselymonitorpatientswithCRPlevel,adjusttheantibioticsandapplicationofvariousdrugs,andprovideguidance forclinicaltreatmentofpatientswithseconda