摘要
目的分析急诊重症监护室(emergency intensive care unit,EICU)危重病患者血清磷水平与腓肠肌围(calf circumference,CC)及预后的相关性。方法收集同济大学附属同济医院2014年8月至2015年8月收治的EICU危重病患者88例,于入院第2天检测患者血清磷、CC,分别记录计算患者的住院时间、住院费用及死亡率。根据患者血磷水平分为正常血磷组和低磷血症组,分别分析比较两组患者的腓肠肌围、住院时间、住院费用及死亡率,并分析患者血清磷水平与腓肠肌围、住院时间、住院费用及死亡率的相关关系。结果正常血磷组和低磷血症组CC水平、住院天数及住院费用比较,差异具有统计学意义(P<0.05);血清磷水平与CC水平呈正相关性(r=0.218,P=0.041),与住院天数呈负相关性(r=-0.339,P=0.001),与EICU住院费用无相关性(r=-0.132,P=0.220),与死亡率无相关性(r=-0.062,P=0.563)。结论患者的血清磷水平越低,其腓肠肌围越小,住院时间越长。
Objective To analyze the correlation of serum phosphorus level with calf circumference （CC） and prognosis of critically ill patients in emergency intensive care unit （EICU）. Methods Eighty eight critically ill patients admitted in EICU in Tongji Hospital, Tongji University, from August 2014 to August 2015 were enrolled. The serum phosphorus levels were determined, CC as the indicator of nutritional status was measured, and the length of stay in EICU, hospital costs and mortality rate were recorded. According to phosphorus levels patients were divided into normal serum phosphate group and hypophosphatemia group. The correlation of serum phosphorus levels with CC, length of stay in EICU and hospital costs was analyzed. Results There were significant differences in CC levels, length of EICU stay and hospital costs between normal serum phosphate group and hypophosphatemia group （ P 〈 0.05 ）. Serum phosphate levels were positively correlated with CC levels （ r =0. 218 ,P = 0. 041 ）, and negatively correlated with the length of EICU stay （ r = - 0. 339, P = 0.001 ）, while it was not correlated with medical costs and mortality rate（r = -0. 132,P =0.220;r = -0. 062, P = 0. 563 ）. Conclusion The phosphorus levels in critically ill patients are positively correlated with nutritional status and negatively correlated the length of EICU stay.
出处
《同济大学学报（医学版）》
CAS
2017年第2期110-113,124,共5页
Journal of Tongji University(Medical Science)
关键词
危重病
低磷血症
腓肠肌围
营养不良
critically ill
hypophosphatemia
calf circumference
malnutrition
