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评价接受黏菌素治疗患者的血清肌酐水平参考变化值。

Evaluation of Serum Creatinine Levels with Reference Change Value in Patients Receiving Colistin Treatment.

机构信息

Department of Medical Biochemistry, Faculty of Medicine, Canakkale Onsekiz Mart University, Canakkale, Turkey.

Department of Infectious Diseases, Faculty of Medicine, Canakkale Onsekiz Mart University, Canakkale, Turkey.

出版信息

Lab Med. 2023 Nov 2;54(6):582-586. doi: 10.1093/labmed/lmad009.

DOI:10.1093/labmed/lmad009
PMID:36883236
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10629923/
Abstract

OBJECTIVE

In this study, we aimed to evaluate the serum creatinine (SCr) levels with the reference change value (RCV) in patients receiving colistin treatment.

METHODS

We retrospectively recorded the SCr levels of 47 patients receiving colistin treatment before treatment and on days 3 and 7 after treatment. RCV was calculated with the asymmetrical RCV formula (Z = 1.64, P < .05). Percent (%) increase in the SCr results of the patients was compared with RCV and values exceeding RCV were regarded as statistically significant.

RESULTS

The RCV was calculated as 15.6% for SCr. Compared with pretreatment values, SCr value on day 3 was 32/47 and on day 7 it was 36/47; as these results exceeded RCV, they were considered statistically significant.

CONCLUSION

Use of RCV in the interpretation of results between serial measurements will provide a more rapid and sensitive method when making decisions.

摘要

目的

本研究旨在评估接受黏菌素治疗患者的血清肌酐(SCr)水平与参考变化值(RCV)。

方法

我们回顾性记录了 47 例接受黏菌素治疗患者治疗前及治疗后第 3、7 天的 SCr 水平。RCV 采用不对称 RCV 公式(Z = 1.64,P <.05)计算。将患者的 SCr 结果的百分比(%)增加与 RCV 进行比较,超过 RCV 的数值被认为具有统计学意义。

结果

SCr 的 RCV 计算为 15.6%。与治疗前值相比,第 3 天的 SCr 值为 32/47,第 7 天的 SCr 值为 36/47;由于这些结果超过了 RCV,因此被认为具有统计学意义。

结论

在连续测量结果的解释中使用 RCV 将提供更快速和敏感的决策方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31cc/10629923/99b106d41203/lmad009_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31cc/10629923/27e6b2e14382/lmad009_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31cc/10629923/b96a34727c41/lmad009_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31cc/10629923/99b106d41203/lmad009_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31cc/10629923/27e6b2e14382/lmad009_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31cc/10629923/b96a34727c41/lmad009_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31cc/10629923/99b106d41203/lmad009_fig3.jpg

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Colistin Nephrotoxicity-Age and Baseline kidney Functions Hold the Key.黏菌素肾毒性——年龄和基线肾功能是关键。
Indian J Nephrol. 2021 Sep-Oct;31(5):449-453. doi: 10.4103/ijn.IJN_130_20. Epub 2021 Sep 21.
3
The EuBIVAS Project: Within- and Between-Subject Biological Variation Data for Serum Creatinine Using Enzymatic and Alkaline Picrate Methods and Implications for Monitoring.
欧洲生物变异评估标准化(EuBIVAS)项目:使用酶法和碱性苦味酸盐法测定血清肌酐的个体内和个体间生物学变异数据及其对监测的意义
Clin Chem. 2017 Sep;63(9):1527-1536. doi: 10.1373/clinchem.2017.275115. Epub 2017 Jul 18.
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Serum Creatinine: Not So Simple!血清肌酐:并非那么简单!
Nephron. 2017;136(4):302-308. doi: 10.1159/000469669. Epub 2017 Apr 26.
5
Interpretation of Biochemical Tests Using the Reference Change Value in Monitoring Adverse Effects of Oral Isotretinoin in 102 Ethnic Turkish Patients.在102名土耳其族患者中使用参考变化值解读生化检测结果以监测口服异维A酸的不良反应
Lab Med. 2016 Aug;47(3):213-9. doi: 10.1093/labmed/lmw024. Epub 2016 Jun 26.
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