老年膿毒癥患者血糖變異度與預(yù)后的相關(guān)性
發(fā)布時(shí)間:2018-06-13 15:29
本文選題:膿毒癥 + 血糖變異度; 參考:《中國(guó)老年學(xué)雜志》2017年10期
【摘要】:目的探討老年膿毒癥患者血糖變異度與預(yù)后的相關(guān)性。方法選取老年膿毒癥患者120例,根據(jù)空腹血糖(FPG)情況分為3組,4.4~6.1 mmol/L患者42例為A組,6.2~8.3 mmol/L患者41例為B組,8.4~10.0 mmol/L患者37例為C組,均行感染相關(guān)器官衰竭(SOFA)評(píng)分、急性生理和慢性健康評(píng)估系統(tǒng)(APACHE)Ⅱ評(píng)分。分析血糖變異度與預(yù)后的關(guān)系。結(jié)果 A組膿毒癥嚴(yán)重程度、預(yù)后均明顯好于B組和C組,SOFA評(píng)分、APACHEⅡ評(píng)分、最高血糖、平均血糖、血糖標(biāo)準(zhǔn)差、血糖變異系數(shù)、平均每日△血糖均明顯低于B組和C組。B組膿毒癥嚴(yán)重程度、預(yù)后均明顯好于C組,SOFA評(píng)分、APACHEⅡ評(píng)分、最高血糖、平均血糖、血糖標(biāo)準(zhǔn)差、血糖變異系數(shù)、平均每日△血糖均明顯低于C組。存活患者最高血糖、平均血糖、血糖標(biāo)準(zhǔn)差、血糖變異系數(shù)、平均每日△血糖均明顯低于死亡患者(均P0.05)。最高血糖、平均血糖、血糖標(biāo)準(zhǔn)差、血糖變異系數(shù)、平均每日△血糖與預(yù)后存在明顯正相關(guān)。結(jié)論老年膿毒癥患者血糖變異度與預(yù)后的關(guān)系密切。膿毒癥越嚴(yán)重,血糖變異度越大,預(yù)后越差。
[Abstract]:Objective To study the relationship between blood sugar variability and prognosis in elderly patients with sepsis . The results showed that the patients with sepsis were significantly lower than those in group B and group C . The severity and prognosis of patients with sepsis were significantly better than those in group B and group C . The results showed that the highest blood glucose , average blood sugar , standard deviation of blood sugar , average daily 鈻,
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