白蛋白对重症社区获得性肺炎预后的评估价值

陈丽; 陆晓晔; 朱长清

doi:10.13201/j.issn.1009-5918.2019.07.008

白蛋白对重症社区获得性肺炎预后的评估价值

- 上海交通大学医学院附属仁济医院急诊科(上海, 200127)

详细信息

通讯作者: 朱长清,E-mail:zhucq1965@126.com

中图分类号: R774.6

收稿日期: 2019-02-26

Prognostic value of albumin in patients with severe community-acquired pneumonia

- Department of Emergency, Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, 200127, China

More Information

Corresponding author: ZHU Changqing, E-mail: zhucq1965@126.com

Received Date: 26 February 2019

摘要

摘要: 目的: 探讨白蛋白(ALB)预测重症社区获得性肺炎患者预后的价值。方法: 收集2014-01—2018-08期间因重症社区获得性肺炎收治入我院急诊科的患者149例。根据预后分为存活组(83例)与死亡组(66例),回顾性分析两组间的临床资料。结果: 死亡组年龄、白细胞计数、中性粒细胞计数、中性粒细胞/淋巴细胞比率(NLR)、肌酐、PSI评分显著高于存活组,血红蛋白、ALB显著低于存活组,差异有统计学意义(P<0.05)。多因素Logistic回归分析示ALB是重症社区获得性肺炎预后不良的独立危险因素(P<0.05),其曲线下面积为0.711,与PSI评分联合后曲线下面积提高至0.793,曲线下面积均差异有统计学意义(P<0.01)。结论: ALB是影响重症社区获得性肺炎患者预后的独立危险因素,并可以提高PSI评分预测病死率的效能。
- 白蛋白 /
- 重症社区获得性肺炎 /
- 预后
Abstract: Objective: To explore the predictive value of albumin on prognosis of patients with severe community-acquired pneumonia.Method: The study included 149 patients admitted to our hospital between January 2014 and August 2018 with severe community-acquired pneumonia.The patients were divided into the survival group(83 cases)and the death group(66 cases)according to the prognosis.The clinical data between the two groups were analyzed retrospectively.Result: The age,white blood cell counts,neutrophil counts,neutrophil to lymphocyte ratio(NLR),creatinine,PSI were higher in death group,while hemoglobin and albumin were lower than those in the survival group,with statistically significant differences(P<0.05).Multivariate Logistic regression analysis showed that ALB was an independent factor for poor prognosis of severe community-acquired pneumonia(P<0.05),and its area under the curves was 0.711,which was increased to 0.793 when combined with PSI,and all had significant significance(P<0.01).Conclusion: ALB was an independent risk factor affecting the prognosis of patients with severe community-acquired pneumonia,and could increased prognostic performance when combined with the PSI score.
- albumin /
- severe community-acquired pneumonia /
- prognosis

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