摘要
目的探讨急诊危重病患者入院后最初前24 h体温动态变化与APACHEⅡ评分及预后关系。方法对52例急诊危重病患者入院后最初前24 h体温动态变化及APACHEⅡ评分变化进行分析,其中前24 h体温积分为每4个小时段内体温测定最高值的代数和。结果①在EICU的危重病患者中,存活组间入院后最初前24 h体温变化的积分为508.0±10.3,略低于死亡组(521.7±20.1),且差异接近显著(P=0.111);②患者入院时首次体温测定值,入院后前24 h体温最高值和入院后前24 h体温积分均与入院时的心率次数呈高度正相关(P均<0.01);③患者入院后前24 h体温最高值(P<0.10)和入院后前24 h体温积分(P<0.05)均与APACHEⅡ评分呈中度正相关;④Logistic回归分析表明,入院后前24 h体温积分和入院时APACHEⅡ评分是与死亡有关的独立预测因子(P均<0.05)。结论急诊危重病患者入院后最初24 h体温的积分可能是判断患者病情的重要指标。
Objective To study on the relationship between the dynamic changes of body temperature within the first 24 h after admission to hospital and the severity of EICU patients. Method The serial changes of body temperature and APACHE Ⅱ scores were collected and analyzed in the 52 EICU patients, and the integral score of body temperature within the first 24 h was the algebraic sum of the peak numbers every 4 hours. Results ①The average body temperature integral score in the survival EICU patients was 508.0 ± 10.3, which was slightly lower than that in the dead group 521.7 ± 20. 1 and the difference was significant （ P = 0.111 ）. ②The body temperature of the first time, peak body temperature and the integral score within first 24 hours correlated highly with the heart rates of the EICU patients （ All P 〈 0.01 ）. ③ The peak body temperature （ P 〈 0.10） and the integral score （ P 〈 0.05 ） within first 24 hours correlated positively with the APACHE Ⅱ scores in all these patients. ④ The Logistic regression analysis indicated the body temperature integral score within first 24 hours and the APACHE Ⅱscores were related to the prognosis in these EICU patients. Conclusion The integral score of body temperature within first 24 hours may be a good marker for the assessment of patientg severity.
出处
《中国急救医学》
CAS
CSCD
北大核心
2008年第10期896-898,共3页
Chinese Journal of Critical Care Medicine
基金
全军"十一五"医药卫生科研基金课题面上项目(No.2006MB262)
关键词
危重病
体温
预后
Critical disease
Body temperature
Prognosis
