| 摘要: |
| ［摘要］目的 探讨膝关节感染患者中WBC、CRP、ESR、SAA、PCT、GR%的临床价值．方法 选取2012年3月至2015年1月间185例患者进行分析，根据细菌学结果将185例患者分为术前膝关节感染组（实验组）和术前术后均无膝关节感染组（对照组），其中实验组37例，对照组148例．收集临床数据，比较2组间术前及术后第1、3、7 天 WBC、CRP、ESR、SAA、PCT、GR%的差异．结果 术前实验组WBC、CRP、ESR、SAA、PCT、GR%均高于对照组，差异有统计学意义（P＜0.05）；在术后第1天实验组WBC、CRP、ESR、SAA均高于对照组，差异有统计学意义（P＜0.05），而PCT、GR%在2组之间无明显差异（P>0.05）；在术后第3天及第7天WBC、CRP、ESR、SAA、PCT、GR%在2组之间无明显差异（P＞0.05）．结论 WBC、CRP、ESR、SAA、PCT、GR%对于早期诊断、早期预防感染有良好的参考价值，可作为膝关节感染初筛检测指标． |
| 关键词: ［关键词］感染 白细胞 超敏C反应蛋白 血沉 血清淀粉样蛋白 降钙素原 中性率细胞百分数 |
| DOI： |
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| 基金项目:［基金项目］云南省科技厅-昆明医科大学应用基础研究联合专项基金资助项目（2012FB032） |
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| Clinical Significance of 5 Infectious Indicators for Patients with Knee Infection |
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LI Jian1,2
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1.（Dept. of Sport Medicine，First Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650032;2.２）The Clinical Skill Trainning Center of Kunming Medical University，Kunming Yunnan 650500，China）
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| Abstract: |
| ［Abstract］Objective To explore the clinical significance of white blood cell（WBC），C-reactive protein （CRP），Erythrocyte sedimentation rate（ESR），serum amyloid A（SAA），procalcitonin （PCT）and neutrophil granulocyte percentage（GR%）in patients with knee infection. Methods A retrospective study was conducted from March 2012 to January 2015. One hundred and eighty-five patients were collected in the study. They were divided into knee infection group（A，37 patients） and non-infection group（B，148 patients） according to the results of postoperative blood culture. The values of WBC， CRP， ESR， SAA，PCT and GR% were compared and analyzed between the two groups. Results The values of the 6 indicators in group A were higher than those in group B before operation，with statistically significant differences（P < 0.05）. The values of WBC， CRP，ESR and SAA in group A were higher than those in group B on post-operation day 1（P < 0.05）. However，PCT and GR% were no statistically significance between groups A and B（P > 0.05）. The values of 6 indicators on post-operation days 3 and 7 were no statistically significance between the two groups（P > 0.05）. Conclusion WBC，CRP，ESR，SAA，PCT and GR% showed good reference values for early diagnosis and prevention of infection，which can be used as the screen testing indexes in the early knee infection. |
| Key words: ［Key words］Infection WBC CRP ESR SAA PCT Neutrophil granulocyte percentage |