机械通气对重症肺炎患者尿微量白蛋白水平的影响
Chinese Journal of Primary Medicine and Pharmacy(2010)
Abstract
目的 探讨机械通气对重症肺炎患者尿微量白蛋白水平的影响.方法 采用机械通气治疗的78例重症肺炎患者,治疗72 h内动态检测尿微量白蛋白(MAU)与尿肌酐(CR)比值(ACR)MAU/CR,以ACR值25 mg/mmol为临界值,分为ACR增多组与未增多组,观察两组MAU水平的动态变化,以评估与预后的关系.结果 重症肺炎78例中,入院72 h MUA水平增高64例(占82.1%),其中ACR增高组46例,ACR未增高组18例.两组APACHEⅡ评分、CPIS评分、降钙素原、2周内脱机成功率和病死率比较差异均有统计学意义(t=3.50、2.19、x~2=3.95、6.70、5.38,P=0.01,0.03,0.04,0.01,0.02,均P<0.05).结论 机械通气治疗重症肺炎患者MAU水平检测对评估预后有重要的临床意义.
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Key words
severe pneumonia
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