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头孢噻肟联合丙种球蛋白对新生儿败血症C反应蛋白及降钙素原的疗效

Efficacy of cefotaxime combined with gamma globulins on C-reactive protein and procalcitonin in neonatal sepsis.

作者信息

Zhang Fan

机构信息

Department of Pediatrics, The General Hospital of PLA Central Theater Command KanKou Are, Wuhan, Hubei 430014, China.

出版信息

Cell Mol Biol (Noisy-le-grand). 2020 May 16;66(2):172-176.

Abstract

C-reactive protein (CRP) is encoded by CRP or PTX1 gene and procalcitonin (PCT) is produced by the CALC-1 gene induction. Both PCT and CRP are known as valued biomarkers markers in prediction of Serious Bacterial Infections (SBI) in children. This experiment carried out to analyze the efficacy of cefotaxime combined with gamma globulins on neonatal sepsis and the effect on CRP and PCT. For this purpose, a total of 120 sepsis children were selected and randomly divided into observation and control groups. Children in the control group were treated with cefotaxime, while children in the observation group were treated with cefotaxime combined with gamma globulins. The two groups were compared in terms of the relative measures of efficacy, the total effective rate of treatment, the incidence of complications and serum CRP and PCT levels before and after treatment. The clinical measures of the observation group were all lower than those of the control group, and the total effective rate of the treatment was higher than that of the control group, while the incidence of complications was lower than that of the control group. In addition, before treatment, there was no difference in CRP and PCT between the two groups; after treatment, the above measures in the observation group were lower than those in the control group. It is concluded that Cefotaxime combined with gamma globulins in the treatment of neonatal sepsis has significant efficacy and is clinically more effective than cefotaxime monotherapy. This combination can shorten clinical symptom remission time and hospital stay, improve serum CRP and PCT levels and promote the recovery of children, worthy of promotion.

摘要

C反应蛋白(CRP)由CRP或PTX1基因编码,降钙素原(PCT)由CALC-1基因诱导产生。PCT和CRP均被认为是预测儿童严重细菌感染(SBI)的重要生物标志物。本实验旨在分析头孢噻肟联合丙种球蛋白治疗新生儿败血症的疗效以及对CRP和PCT的影响。为此,共选取120例败血症患儿并随机分为观察组和对照组。对照组患儿接受头孢噻肟治疗,观察组患儿接受头孢噻肟联合丙种球蛋白治疗。比较两组的疗效相关指标、治疗总有效率、并发症发生率以及治疗前后血清CRP和PCT水平。观察组的各项临床指标均低于对照组,治疗总有效率高于对照组,并发症发生率低于对照组。此外,治疗前两组CRP和PCT无差异;治疗后,观察组上述指标低于对照组。结论:头孢噻肟联合丙种球蛋白治疗新生儿败血症疗效显著,临床效果优于头孢噻肟单药治疗。该联合用药可缩短临床症状缓解时间和住院时间,改善血清CRP和PCT水平,促进患儿康复,值得推广。

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