Abstract：Objective: To explore the clinical value of serum cholinesterase (CHE), N-terminal pro-brain natriuretic peptide (NT-proBNP) and procalcitonin (PCT) on diagnosis and prognosis assessment of patients with heart failure and pulmonary infection. Methods: The clinical data of 120 patients with heart failure and pulmonary infection were retrospectively analyzed. According to the New York Heart Association (NYHA) cardiac function grading and 28d survival, they were divided into grade II group (n=42), grade III group (n= 49) and grade IV group (n=29) and death group (n=23) and survival group (n=97), and the clinical data of 162 patients with simple heart failure were included in controls. The levels of serum CHE, NT-proBNP and PCT were compared among patients with different disease condition and prognosis. The correlation between the above indexes and cardiac function was analyzed by Spearman correlation coefficient model. Receiver operating characteristic (ROC) curves were used to analyze the diagnostic efficacy of the above indexes in predicting 28d survival of patients with heart failure and pulmonary infection. Results: Serum CHE level in patients with heart failure and pulmonary infection was significantly lower than that of patients without pulmonary infection while the levels of serum NT-proBNP and PCT were significantly higher than those of patients without pulmonary infection (P<0.05). Among patients with heart failure and pulmonary infection with different cardiac function, serum CHE level showed grade II group> grade III group> grade IV group, and the levels of serum NT-proBNP and PCT showed grade II group< grade III group< grade IV group (P<0.05). Serum CHE level was significantly negatively correlated with cardiac function in patients with heart failure and pulmonary infection (r<0, P<0.05) while levels of serum NT-proBNP and PCT were significantly positively correlated with cardiac function (r>0, P<0.05). Serum CHE level in death group was significantly lower than that in survival group while levels of serum NT-proBNP and PCT were significantly higher than those in survival group (P<0.05). The AUC values of ROC curves of CHE, NT-proBNP and PCT in predicting 28d death of patients with heart failure and pulmonary infection were significantly smaller than those of combination prediction (P<0.05), and the cut-off values were 4.18 kU/L, 11.61 μg/L and 10.04 μg/L respectively. Conclusion: Serum CHE, NT-proBNP and PCT levels are closely related to the prognosis of patients with heart failure and pulmonary infection. Early clinical combination testing can help guide the diagnosis and treatment plan, so as to take appropriate intervention measures to improve the prognosis as soon as possible.
陈公海, 颜光寰, 王光权. 心衰伴肺部感染患者血清胆碱酯酶水平 NT-pro BNP及PCT水平与预后的关系[J]. 河北医学, 2019, 25(12): 1937-1941.
CHEN Gonghai, YAN Guanghuan, WANG Guangquan. Relationship between Levels of Serum Cholinesterase NT-pro BNP and PCT and Prognosis in Patients with Heart Failure and Pulmonary Infection. HeBei Med, 2019, 25(12): 1937-1941.
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2019, Vol. 25 
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