老年高血糖高滲壓綜合征的危險(xiǎn)因素及干預(yù)對(duì)策
發(fā)布時(shí)間:2018-05-16 14:57
本文選題:高血糖高滲壓綜合征 + 血鉀 ; 參考:《中國(guó)老年學(xué)雜志》2017年23期
【摘要】:目的探討老年高血糖高滲壓綜合征(HHS)的危險(xiǎn)因素及干預(yù)對(duì)策。方法老年HHS患者62例,根據(jù)病情輕重分為高危組(n=28)和非高危組(n=34),使用急慢性生理健康評(píng)估Ⅱ評(píng)分表(APACHEⅡ)評(píng)估患者病情輕重,并用Logistic回歸分析確定老年HHS的相關(guān)危險(xiǎn)因素。結(jié)果高危組平均APACHEⅡ分值明顯高于非高危組(P0.01),且高危組血糖和血漿滲透壓值明顯高于非高危組(P0.01)。而兩組血糖和血漿滲透壓均與APACHEⅡ評(píng)分呈正相關(guān)(r=0.542,0.412;P0.01)。多因素Logistic分析表明,血糖指數(shù)、血漿滲透壓及昏迷狀態(tài)與HHS有關(guān)聯(lián)。結(jié)論老年HHS患者的病情越重,血糖和血漿滲透壓過(guò)高,是老年HHS病情危重的獨(dú)立因素或聯(lián)合因素,治療時(shí)應(yīng)重視這兩個(gè)指標(biāo)并對(duì)癥下藥。
[Abstract]:Objective to explore the risk factors and intervention measures of hyperglycemia hyperosmotic syndrome (HHS) in the elderly. Methods Sixty-two elderly patients with HHS were divided into two groups according to the severity of the disease. They were divided into high risk group and non-high risk group. Acute and chronic physiological health assessment 鈪,
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