摘要
目的探讨外周血中性粒细胞/淋巴细胞比值(NLR)、红细胞分布宽度(RDW))对脑卒中并发肺部感染患者预后的评估价值。方法选择2017年1月一2018年12我院重症医学科收治的脑卒中并发肺部感染患者76例,记录一般资料、急性生理和慢性健康评分(APACHEⅡ)、血常规、生化、序贯器官衰竭评分(SOFA评分)。纳入研究患者根据预后情况分为存活组(50例)与死亡组(26例),比较两组之间一般资料、化验指标及相关评分等资料差异,通过Logistic回归分析找出影响脑卒中并发肺部感染患者预后的独立因素,并对有意义的指标绘制受试者工作(ROC)曲线。结果相对于存活组,死亡组的NLR、RDW、APACHEⅡ及SOFA评分均显著升高(P<0.01)。Logistic回归分析显示NLR及RDW是脑卒中并发肺部感染患者评估预后的独立危险因素,且能有效预判患者预后转归。结论NLR、RDW可以作为判断脑卒中并发肺部感染患者预后的指标。
Objective To explore the prognostic value of neutrophil-lymphocyte ratio and red blood cell distribution width in stroke patients with pulmonary infection.Methods From Jan 2017 to Dec 2018,76 stroke patients with pulmonary infection in our department of Critical Care Medicine were enrolled.Their general information,APACHEⅡcore,blood routine,biochemical,and SOFA score were recorded.They were divided into the survival group(50 cases)and the death group(26 cases).NLR,RDW,correlation score and other data were compared between the two groups.Logistic regression analysis was performed to find out the independent prognostic risk factors,and ROC curve was used to evaluate the predictive value of risk factors on prognosis.Results The value of NLR,RDW,APACHEⅡand SOFA scores of the death group were significantly higher than those of the survival group(P<0.05).Conclusion NLR and RDW can be used as prognostic indicators for stroke patients with pulmonary infection.
作者
洪峰
周大勇
马娣
李魏
HONG Feng;ZHOU Da-yong;MA Di;LI Wei(Department of Critical Care Medicine,the First Affiliated Hospital of Anhui University of Chinese Medicine,Hefei,Anhui 230031,China)
出处
《临床肺科杂志》
2019年第9期1592-1595,共4页
Journal of Clinical Pulmonary Medicine
基金
安徽省“十三五”医疗卫生重点专科建设项目(皖卫科教[2017]30号)
安徽中医药大学科研基金项目(No 2015qn028)
