摘要
目的:探讨老年社区获得性肺炎患者检测红细胞体积分布宽度(RDW)的临床价值。方法:根据28 d预后将90例老年社区获得性肺炎患者分为死亡组37例与存活组53例,现回顾分析所有患者的RDW、急性生理学与慢性健康状况评分(APACHEⅡ评分)、肺炎严重程度评分(PSI评分)等指标。结果:死亡组RDW、APACHEⅡ评分、PSI评分显著高于存活组,两组比较,差异有统计学意义(P<0.05)。老年社区获得性肺炎患者RDW与APACHEⅡ评分、PSI评分呈正相关(r=0.824、0.805,P<0.05)。多因素Logistic回归分析显示,RDW、APACHEⅡ评分、PSI评分是影响老年社区获得性肺炎患者预后的独立危险因素(P<0.05)。结论:RDW可以用于老年社区获得性肺炎患者的预后判断。
Objective:To explore the clinical value of detection of red blood cell volume distribution width(RDW)in elderly patientswith community acquired pneumonia.Methods:90 cases of elderly patients with community acquired pneumonia were dividedinto the death group with 37 cases and the survival group with 53 cases according to the 28 d-prognosis,and the RDW,acutephysiology and chronic health evaluationⅡscores(APACHEⅡscores)and pneumonia severity index scores(PSI scores)of all patientswere analyzed retrospectively.Results:The RDW,APACHEⅡ scores and PSI scores of the death group were obviously higherthan those of the survival group,and the differences between groups were statistically significant respectively(P<0.05).TheRDW was positively correlated with APACHE Ⅱ scores and PSI scores in elderly patients with community acquired pneumonia(the correlation coefficients were 0.824 and 0.805,respectively,P<0.05).The multi-factor Logistic regression analysis showedthat the RDW,APACHEⅡscores and PSI scores were independent risk factors for prognosis in elderly patients with communityacquired pneumonia.Conclusion:The RDW can be used to judge the prognosis of elderly patients with community acquired pneumonia.
作者
戴绘芬
Dai Huifen(Traditional Chinese Medicine Hospital of Haian County,Jiangsu Province 224700)
出处
《中国社区医师》
2016年第30期122-123,共2页
Chinese Community Doctors
