T3、T4、早期乳酸清除率及HBP蛋白与重症肺炎病情程度及预后的关系

目的 分析甲状腺激素、早期乳酸清除率及肝素结合蛋白检测对重症肺炎病情程度及预后的评估价值.方法 选取2018年9月至2020年5月本院接收的75例重症肺炎患者,据急性生理与慢性健康评分将所有患者分为A组(21例)、B组(28例)、C组(26例);据28d内疾病转归情况分为生存组(51例)和死亡组(24例);选取35例同...

The relationship between T3,T4,early lactate clearance rate,HBP protein and the severity and prognosis of severe pneumonia

Objective To analyze the value of thyroid hormone,early lactate clearance rate and heparin-binding protein(HBP)detection for the severity and prognosis of severe pneumonia.Methods 75 patients with severe pneumonia accepted by our hospital from September 2018 to May 2020 were selected.According to acute physiology and chronic health evaluationⅡ(APACHEⅡ)scores,all patients were divided into three groups:group A(21 cases),group B(28 cases),C Group(26 cases).75 patients were divided into the survival group(51 cases)and the death group(24 cases)according to the disease outcome within 28 days.At the same time,35 cases with normal physical examination results were selected as the control group.Thyroid hormones[triiodothyronine(T3),thyroxine(T4)],early lactate clearance rate and HBP levels in the three groups A,B,C and the control group were measured and compared.The multivariate Logistic regression analysis was used to analyze the independent risk factors affecting the prognosis of patients with severe pneumonia.The ROC curve was used to analyze the predictive value of thyroid hormone,early lactate clearance and HBP level on the prognosis of patients with severe pneumonia.Results T3,T4 and 6h lactic acid clearance rates among the four groups are as follows:the control group>group A>group B>group C.Comparison of HBP level:the control group