C-反应蛋白及白细胞介素6早期预测急性胰腺炎合并感染的实验研究
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王成友

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Experimental study of Creactive protein and interleukin6 as early predictors of acute pancreatitis associated with infection
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    目的:研究C-反应蛋白(CRP)及白细胞介素6(IL6)对急性胰腺炎并感染的诊断价值。 方法:60只SD大鼠随机分为急性胰腺炎组(AP组,n=40)及假手术组(S组,n=20),分别检测成模前(0h)及成模后12,24及48h时血浆CRP及IL6水平和48h时腹水细菌培养。结果:(1)AP组存活36例,均制模成功。16例发生腹水感染(AP1组),而20例未见腹水感染(AP2组)。(2)AP1及AP2组血浆CRP及IL6水平在成模后均显著高于S组(P均<0.01)。AP1与AP2组比较,仅CRP在48h时有显著升高(P<0.01)。(3)AP1组在成模后IL6及CRP逐渐上升,各时点均存在显著的差异(P均<0.05);而AP2组IL6及CRP仅在成模后24h内显著升高(P均<0.05),而术后48h和24h时差异并无显著性(P>0.05)。结论:血浆CRP对急性胰腺炎早期发生感染诊断具预测价值,而IL6则对急性胰腺炎并继发的细菌感染并不敏感。

    Abstract:

    Objective:To study the value of Creactive protein (CRP) and interleukin6(IL6) in the diagnosis of acute pancreatitis (AP) associated with infection. Methods:Sixty SD rats were randomly assigned into group AP (n=40) and shamoperation group (S, n=20). Plasma CRP and IL6 were detected before AP(0h), and at 12h, 24h and 48h after AP. Serum amylase detection and ascitic bacteria culture were carried out at 48h. Results:(1)In AP group, 36 rats were alive. Ascitic infection developed in 16 cases (group AP1), and not in the other 20 cases (group AP2). (2)Plasma CRP and IL6 levels in group AP1 and AP2 were significantly higher than those in group S (all, P<0.01). In group AP1, compared to group AP2, except the CRP concentrations at 48h had a significant increase(P<0.01), at all the other time periods, no significant differences of plasma IL6 and CRP concentrations were observed (all, P>0.05). (3)In group AP1, IL6 and CRP elevated significantly at all time periods after the model setup (P<0.05). But in group AP2, elevation of IL6 and CRP was only observed at 12h(both, P<0.05), and there was no significant difference between 24h and 48h (P>0.05). Conclusions:Plasma CRP has predictive value in the diagnosis of early infection in acute pancreatitis, but plasma IL6 is not sensitive to secondary bacteria infection in acute pancreatitis.

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詹勇强,王成友,张敏杰,倪勇,程书榜,廖允军. C-反应蛋白及白细胞介素6早期预测急性胰腺炎合并感染的实验研究[J].中国普通外科杂志,2005,14(7):10-.
DOI:10.7659/j. issn.1005-6947.2005.07.010

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  • 在线发布日期: 2005-07-25