摘要
目的讨论影响重症野蜂蜇伤患者预后的相关因素,为重症野蜂蜇伤患者的临床治疗和预后判断提供指导。方法选取2018年8月至2020年11月该院急诊科收治的61例重症野蜂蜇伤患者为研究对象,根据预后分为治愈组(n=37)和未治愈组(n=24),收集两组相关的临床资料并分析预后的影响因素。结果未治愈组血尿素氮(BUN)、肌酐(Cr)、总胆红素(TB)、丙氨酸氨基转移酶/天门冬氨酸氨基转移酶(AST/ALT)、超敏肌钙蛋白(hs-cTnⅠ)、凝血酶原时间(PT)水平较治愈组明显升高,差异有统计学意义(P<0.05)。多因素logistic回归分析显示,AST/ALT和hs-cTnⅠ是重症野蜂蜇伤预后的独立影响因素(P<0.05)。结论应针对独立危险因素进行干预改善重症野蜂蜇伤患者的预后。
Objective To discuss the related influencing factors about the prognosis of severe wild bees sting,and to provide guidance for clinical treatment and prognosis judgement of patients with severe wild bees sting.Methods A total of 61 patients with wild bees sting from emergency department of the hospital between August 2018 to November 2020 were selected as the research subjects.They were divided into the cured group(n=37)and the uncured group(n=24)according to the prognosis,and the related clinical data of two groups were collected and prognostic factors were analyzed.Results The levels of blood urea nitrogen(BUN),creatinine(Cr),total bilirubin(TB),alanine aminotransferase/aspartate aminotransferase(AST/ALT),high sensitivity troponin(hs-cTnⅠ)and prothrombin time(PT)in the uncured group were significantly higher than those in the cured group,and the differences were statistically significant(P<0.05).Multivariate logistic regression analysis showed that AST/ALT and hs-cTnⅠwere independent influencing factors for prognosis of severe wild bees sting(P<0.05).Conclusion Intervention should be targeted at independent risk factors to improve the prognosis of patients with severe wild bees sting.
作者
凌进华
孙刚
汪燕
LING Jinhua;SUN Gang;WANG Yan(Department of Emergency,Huangshan People’s Hospital,Huangshan,Anhui 245000,China)
出处
《重庆医学》
CAS
2022年第18期3146-3149,共4页
Chongqing medicine
基金
安徽省医学会急诊医学临床研究项目(Ky2021004)。
