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C 反应蛋白“初现端倪”:妇科手术术后标准趋势及其与白细胞计数的对比分析。

C-reactive protein "at first sight": Standard postoperative trend in gynecological surgery and a comparative analysis with white blood cell levels.

机构信息

Gynecology and Obstetrics, Campus Bio Medico University, Rome, Italy.

Unit of Medical Statistics and Molecular Epidemiology, Campus Bio Medico University, Rome, Italy.

出版信息

Int J Gynaecol Obstet. 2023 Jan;160(1):237-243. doi: 10.1002/ijgo.14314. Epub 2022 Jul 21.

DOI:10.1002/ijgo.14314
PMID:35749082
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10084365/
Abstract

OBJECTIVE

There is a lack of information about the normal trend of C-reactive protein (CRP) blood levels in the postoperative days after gynecological benign surgery. We investigated the impact of different surgical techniques on CRP trend. We performed a comparative analysis between a CRP and white blood cell (WBC) trend in postoperative monitoring.

METHODS

We studied 207 surgical patients for benign gynecological pathology. We analyzed CRP and WBC levels after surgery in the total number of women and separately by approaches.

RESULTS

CRP mean log scores showed a typical behavior. Moreover, results from chi-square test underline that the proportion of women with this result is independent from the type of surgery they underwent. Log score mean values of CPR differed between all groups and between times. No difference in the mean number of white cells between the second and the third day was found, as observed for CRP.

CONCLUSIONS

Our study shows a trend reference model in postoperative monitoring of patients with benign gynecological surgery. The comparative analysis between the CRP and WBC trend in the postoperative days provided us data demonstrating the superiority of CRP in postsurgical patient outcomes monitoring.

摘要

目的

妇科良性手术后,关于 C 反应蛋白(CRP)血液水平的正常趋势信息缺乏。我们研究了不同手术技术对 CRP 趋势的影响。我们对术后监测中 CRP 与白细胞(WBC)趋势进行了对比分析。

方法

我们研究了 207 例患有良性妇科疾病的手术患者。我们分析了手术后所有女性以及按手术方式分类的 CRP 和 WBC 水平。

结果

CRP 平均对数评分表现出典型的行为。此外,卡方检验的结果表明,女性的这一结果比例与她们所接受的手术类型无关。所有组之间和时间之间 CRP 的平均对数评分值均存在差异。与 CRP 不同,我们未发现白细胞的平均数量在第 2 天和第 3 天之间存在差异。

结论

我们的研究为妇科良性手术后患者的术后监测提供了趋势参考模型。术后天数 CRP 与 WBC 趋势的对比分析为我们提供了数据,证明 CRP 在术后患者结局监测方面具有优势。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fbd/10084365/e7a6426819b9/IJGO-160-237-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fbd/10084365/57f2a59a3caa/IJGO-160-237-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fbd/10084365/402baebab133/IJGO-160-237-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fbd/10084365/c4d047f30e21/IJGO-160-237-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fbd/10084365/2ed190c3520e/IJGO-160-237-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fbd/10084365/035fc8b0be41/IJGO-160-237-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fbd/10084365/46da1862dd5d/IJGO-160-237-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fbd/10084365/e7a6426819b9/IJGO-160-237-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fbd/10084365/57f2a59a3caa/IJGO-160-237-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fbd/10084365/402baebab133/IJGO-160-237-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fbd/10084365/c4d047f30e21/IJGO-160-237-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fbd/10084365/2ed190c3520e/IJGO-160-237-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fbd/10084365/035fc8b0be41/IJGO-160-237-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fbd/10084365/46da1862dd5d/IJGO-160-237-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fbd/10084365/e7a6426819b9/IJGO-160-237-g004.jpg

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