摘要
目的研究急危重症患者实施血液学指标及危急重症评分在危急重症患者的预后评估作用。方法方便选择2017年7月-2018年12月在该院住院治疗的急危重症患者29例患者为研究对象并设为实验组,其中实验组29例患者中死亡8例设为死亡组,存活21例设为存活组,同时选取同时期在该院住院治疗的普通住院患者29例设为参照组,对比实验组和参照组血液学指标及危重症评分及死亡组和存活组血液学指标及危重症评分。结果实验组红细胞分布宽度、凝血酶原活动度、乳酸、快速急诊内科评分、改良早期预警评分为(15.76±2.66)%、(72.97±21.84)%、(5.93±3.24)mmol/L、(8.97±2.24)分、(3.27±1.05)分,参照组分别为(12.68±1.15)%、(83.82±14.96)%、(1.66±0.57)mmol/L、(6.61±1.08)分、(2.46±0.81)分(t=5.723 4、2.207 1、6.989 7、5.110 6、3.289 2,P=0.000 0、0.031 4、0.000 0、0.000 0、0.001 7)。实验组红细胞分布宽度、乳酸、快速急诊内科评分、改良早期预警评分明显高于参照组,差异有统计学意义(P<0.05);实验组凝血酶原活动度水平明显低于参照组,差异有统计学意义(P<0.05);存活组红细胞分布宽度、凝血酶原活动度、乳酸、快速急诊内科评分、改良早期预警评分为(14.34±2.66)%、(79.63±10.08)%、(2.53±0.48)mmol/L、(6.02±2.54)分、(2.36±1.02)分,死亡组分别为(17.02±2.84)%、(61.31±13.14)%、(10.22±5.62)mmol/L、(10.61±4.48)分、(5.13±2.18)分(t=2.382 1、4.024 7、6.401 7、3.496 6、4.711 0 P=0.024 5、0.000 4、0.000 0、0.001 6、0.000 0),存活组乳酸、快速急诊内科评分、改良早期预警评分明显低于参照组,差异有统计学意义(P<0.05);存活组凝血酶原活动度水平明显高于死亡组,差异有统计学意义(P<0.05)。结论急危重症患者与普通住院患者而言,其血液学指标与危急重症评分具有极大差异,通过对其指标与评分加以评估,可判断危重症患者实际情况,是其预后判断的重要指标,应予以临床推广。
Objective To study the prognostic evaluation of hematologic and critically ill patients in critically ill patients in critically ill patients. Methods Convenient selected twenty-nine patients with critically ill patients hospitalized in this hospital from July 2017 to December 2018 were selected as the study group, and 8 cases of the 29 patients in the experimental group were sacrificed. 21 patients were enrolled in the survival group, and 29 patients who were hospitalized in our hospital at the same time were selected as the reference group. The hematological parameters and critical illness scores of the experimental group and the reference group were compared with the hematological indexes and critical illness score of the death group and the survival group. Results The red blood cell distribution width, prothrombin activity, lactic acid, rapid emergency medical score, and improved early warning score were (15.76±2.66)%,(72.97±21.84)%,(5.93±3.24) mmol/L,(8.97±2.24)points,(3.27±1.05) points, the reference group were (12.68±1.15)%,(83.82±14.96)%,(1.66±0.57)mmol/L,(6.61±1.08)points,(2.46± 0.81)points(t=5.723 4, 2.207 1, 6.989 7, 5.110 6, 3.289 2, P=0.000 0, 0.031 4, 0.000 0, 0.000 0, 0.001 7).The red blood cell distribution width, lactic acid, rapid emergency department score, and improved early warning score were significantly higher in the experimental group than in the reference group,and the difference was statistically significant(P<0.05). The prothrombin activity level in the experimental group was significantly lower than that in the reference group,and the difference was statistically significant(P<0.05). Distribution width, prothrombin activity, lactic acid, rapid emergency medical score, and improved early warning score were (14.34±2.66)%,(79.63±10.08)%,(2.53±0.48) mmol/L,(6.02±2.54)points (2.36±1.02)points, the death group were (17.02±2.84)%,(61.31±13.14)%,(10.22±5.62) mmol/L,(10.61±4.48) points,(5.13±2.18) points(t=2.382 1, 4.024 7, 6.401 7, 3.496 6, 4.711 0, P=0.024 5, 0.000 4, 0.000 0, 0.001 6, 0.000 0)and the lactic acid, rapid emergency department score, and improved early warning score were significantly lower in the survival group than in the reference group,and the difference was statistically significant(P<0.05). The prothrombin activity level in the survival group was significantly higher than that in the death group,and the difference was statistically significant(P<0.05). Conclusion Hegemonic and critically ill patients have significant differences in hematologic and critical inpatients. By assessing their indicators and scores, the actual situation of critically ill patients can be judged, which is an important indicator of prognosis, which should be clinically promoted.
作者
常丰收
肖丽萍
成长青
马志青
崔玉萍
CHANG Feng-shou;XIAO Li-ping;CHENG Chang-qing;MA Zhi-qing;CUI Yu-ping(Department of Critical Care Medicine,Jinta County People's Hospital,Jiuquan,Gansu Province,735300 China;Department of Traditional Chinese Medicine,Jinta County People's Hospital,Jiuquan,Gansu Province,735300 China)
出处
《中外医疗》
2019年第25期91-93,共3页
China & Foreign Medical Treatment
关键词
急危重症
血液血指标
危急重症评分
预后评估
Critically ill
Blood blood index
Critical critical score
Prognosis assessment
