实用医学杂志 ›› 2021, Vol. 37 ›› Issue (16): 2098-2101.doi: 10.3969/j.issn.1006⁃5725.2021.16.013

• 临床研究 • 上一篇    下一篇

血清可溶性肿瘤因子2抑制剂、半乳糖凝集素⁃3尿酸水平对心脏骤停后综合征患者预后的预测价值

武丽珠,于海侠   

  1. 承德市中心医院急诊科(河北承德 067000)

  • 出版日期:2021-08-25 发布日期:2021-08-25
  • 通讯作者: 于海侠 E⁃mail:agja7556@163.com
  • 基金资助:

    河北省承德市科学技术研究与发展计划项目(编号:201601A016)


Joint effect of serum sST2,Galectin ⁃3 and UA levels in predicting prognosis of post ⁃cardiac arrest syn⁃ drome

WU Lizhu,YU Haixia.

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  1. Department of Emergency,Chengde Central Hospital,Chengde 067000,China

  • Online:2021-08-25 Published:2021-08-25
  • Contact: YU Haixia E⁃mail:agja7556@163.com

摘要:

目的 探讨血清可溶性肿瘤因子 2 抑制剂(sST2)、半乳糖凝集素⁃3(Galectin⁃3)、尿酸(UA 水平对心脏骤停后综合征患者预后的预测价值。方法 182 例心脏骤停后综合征患者的临床资料 进行回顾分析。结果 预后不良率为 73.63%,预后不良者基线血清 sST2、Galectin⁃3 UA 水平均高于 预后良好者(P < 0.05);基线血清 sST2、Galectin⁃3 UA 水平、急性生理学与慢性健康状况(APACHEⅡ 评分升高均可增加预后不良的发生风险(P < 0.05),乳酸清除率增加则可降低预后不良的发生风险 P < 0.05);三者联合预测预后不良的灵敏度、特异度、曲线下面积(AUC)均高于单独检测。结论 脏骤停后综合征患者病死率高,预后不良者基线血清 sST2、Galectin⁃3 UA 水平高,且三者联合可预测 预后不良。

关键词:

可溶性肿瘤因子2抑制剂, 半乳糖凝集素?3, 心脏骤停后综合征, 预后

Abstract:

Objective To explore the value of serum soluble tumor factor 2 inhibitor(sST2),galectin⁃3 and uric acid(UA)levels for predicting the prognosis of patients with post ⁃ cardiac arrest syndrome. Methods The clinical data of 182 patients with post ⁃ cardiac arrest syndrome were retrospectively analyzed. Results The poor prognosis rate was 73.63%. The baseline serum levels of sST2,Galectin⁃3 and UA in the patients with poor prognosis were higher than those in the patients with good prognosis(P < 0.05). Increased baseline serum levels of sST2,Galectin⁃3,UA and acute physiology and chronic health(APACHE II)increased the risk of poor prognosis (P < 0.05),while increased lactate clearance decreased the risk of poor prognosis(P < 0.05). The sensitivity specificity and area under curve(AUC)of the combined prediction for the poor prognosis were higher than those of respective detection. Conclusion The mortality rate of the patients with post⁃cardiac arrest syndrome is high. The baseline serum levels of sST2,Galectin⁃3 and UA are higher in the patients with poor prognosis,and it is of higher value to predict the risk of poor prognosis by combing the three levels.

Key words:

soluble tumor factor 2 inhibitor, galactose lectin?3, post cardiac crrest syndrome, prog?nosis