摘要
目的:探讨老年脓毒症休克患者凝血系统及血小板活化指标对预后的检测价值。方法:选取2016年2月-2018年2月笔者所在医院收治的88例老年脓毒症休克患者为观察组,同期的88例同龄健康老年人为对照组。比较两组的凝血系统及血小板活化指标,同时比较观察组中不同MEDS评分及临床转归情况患者的检测结果。结果:观察组的FIB低于对照组(P<0.05),其他凝血系统及血小板活化指标均高于对照组(P<0.05),观察组中MEDS评分较高及死亡者的FIB低于MEDS评分较低及存活患者(P<0.05),其他凝血系统及血小板活化指标均高于MEDS评分较低及存活患者(P<0.05)。结论:老年脓毒症休克患者的凝血系统及血小板活化指标显著异常,对预后具有较高的检测价值。
Objective:To investigate the detection value of coagulation system and platelet activation indexes for the prognosis of elderly patients with septic shock.Method:A total of 88 elderly patients with septic shock in our hospital from February 2016 to February 2018 were selected as the observation group,88 healthy elderly persons of same ages at the same time were selected as the control group.Then the coagulation system and platelet activation indexes of two groups were compared,and the detection results of observation group with different MEDS score and clinical prognosis situation were compared.Result:The FIB of observation group was lower than that of control group(P<0.05),other coagulation system and platelet activation indexes were higher than those of control group(P<0.05);the FIB of observation group with higher MEDS score and death patients were lower than those of patients with lower MEDS score and survival patients(P<0.05),other coagulation system and platelet activation indexes were higher than those of patients with lower MEDS score and survival patients(P<0.05).Conclusion:The coagulation system and platelet activation indexes for the prognosis of elderly patients with septic shock are significantly abnormal,and they have higher detection value for the prognosis.
作者
鲍林林
陆敬宪
张磊
BAO Linlin;LU Jingxian;ZHANG Lei(Suqian Traditional Chinese Medicine Hospital,Suqian 223000,China)
出处
《中外医学研究》
2019年第4期63-65,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
老年脓毒症休克
凝血系统
血小板活化指标
预后
Elderly patients with septic shock
Coagulation system
Platelet activation indexes
Prognosis
