血清CD71联合PCT水平对脓毒性休克患者短期预后的预测价值
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R459.7

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山西省科学技术厅基础研究计划项目(202403021212186);


Predictive value of serum CD71 combined with PCT levels on short-term prognosis of patients with septic shock
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    摘要:

    目的:探讨转铁蛋白受体1(CD71)和降钙素原(PCT)对脓毒性休克患者短期预后的预测价值。方法:将150例脓毒性休克患者按28 d生存结局分为存活组(n=89)与死亡组(n=61)。患者入院8 h内,均行血清CD71、PCT等实验室指标测定。对比两组患者各项指标差异,采用Logistic回归分析筛选患者预后的影响因素,经受试者工作特征(ROC)曲线评价各指标对预后的预测价值。结果:共纳入150例,28 d死亡61例(40.67%,死亡组),存活89例(59.33%,存活组)。与存活组比,死亡组患者年龄更大(P<0.05),更高的APACHEⅡ评分(P<0.05),且血清PCT、CD71水平也明显升高(P<0.05)。多因素Logistic回归分析显示,APACHEⅡ评分(OR=1.196)、年龄(OR=1.068)、PCT(OR=1.217)、CD71(OR=1.239)均是脓毒性休克患者短期预后的独立影响因素(P<0.05)。Pearson相关性分析显示,PCT(r=1.181)、CD71(r=0.236)与APACHEⅡ评分均呈正相关关系(P<0.05)。ROC曲线分析显示,APACHEⅡ评分、PCT、CD71曲线下面积(AUC)分别为0.686、0.842、0.852,PCT联合CD71预测的AUC为0.930,敏感度、特异度分别为86.89%、89.89%。结论:CD71、PCT均可用于脓毒性休克患者短期预后的预测,且CD71联合PCT的预测价值高于单一应用。

    Abstract:

    Objective:To explore the predictive value of transferrin receptor 1(CD71)and procalcitonin(PCT)in the short-term prognosis of patients with septic shock.Methods:150 patients with septic shock were selected as the research objects.According to the survival of patients 28 days after treatment,they were divided into survival group(n=89)and death group(n=61).Within 8 hours after admission,serum CD71,PCT and other laboratory indicators were measured in all patients.The differences were compared between the two groups of indicators.Logistic regression analysis was used to screen the influencing factors of prognosis,and the predic-tive value of each index for prognosis was evaluated by receiver operating characteristic curve(ROC).Results:A total of 150 cases were included,61 cases(40.67%,death group)died at 28 days,and 89 cases(59.33%,survival group)survived.Compared with the survival group,the patients in the death group had a greater age(P<0.05),a higher APACHE Ⅱ score(P<0.05),and serum PCT and CD71 levels were also increased(P<0.05).Multivariate Logistic regression analysis showed that APACHE Ⅱ score(OR=1.196),age(OR=1.068),PCT(OR=1.217)and CD71(OR=1.239)were independent factors affecting the short-term prognosis of patients with septic shock(P<0.05).Pearson correlation analysis showed that PCT(r=1.181)and CD71(r=0.236)were posi-tively correlated with APACHE Ⅱ score(P<0.05).ROC curve analysis showed that the area under the curve(AUC)of APACHE Ⅱ score,PCT and CD71 were 0.686,0.842 and 0.852,respectively.The AUC of PCT combined with CD71 was 0.930,the sensitivity and specificity were 86.89%and 89.89%,respectively.Conclusion:Both CD71 and PCT can be used to predict the short-term prognosis of patients with septic shock,and the predictive value of CD71 combined with PCT is higher than that of single application.

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赵婕;梁继芳;武卫东;.血清CD71联合PCT水平对脓毒性休克患者短期预后的预测价值[J].川北医学院学报,2025,40(8):997-1000.

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  • 在线发布日期: 2025-08-10
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