血糖變異性對(duì)危重癥腦血管病患者預(yù)后的影響
發(fā)布時(shí)間:2018-03-11 03:23
本文選題:血糖變異性 切入點(diǎn):危重癥 出處:《中國(guó)老年學(xué)雜志》2017年12期 論文類型:期刊論文
【摘要】:目的探討血糖變異性與危重癥腦血管病患者預(yù)后的關(guān)系。方法分析神經(jīng)內(nèi)科重癥監(jiān)護(hù)室(N-ICU)126例患者的臨床資料,包括性別、年齡、住院天數(shù)、機(jī)械通氣時(shí)間、急性生理與慢性健康評(píng)估Ⅱ(APACHEⅡ)評(píng)分。按預(yù)后分為存活組(n=98)和死亡組(n=28)兩組。記錄所有患者的血糖值、初始血糖值、血糖標(biāo)準(zhǔn)差、變異系數(shù),并用血糖標(biāo)準(zhǔn)差及變異系數(shù)來(lái)衡量血糖變異性。探討血糖變異性與死亡的關(guān)系。結(jié)果死亡組與存活組比較N-ICU住院天數(shù)、機(jī)械通氣時(shí)間、APACHEⅡ評(píng)分差異有統(tǒng)計(jì)學(xué)意義(P0.05)。死亡組血糖標(biāo)準(zhǔn)差、變異系數(shù)均高于存活組(P0.01)。結(jié)論與血糖變異性危重癥腦血管病患者預(yù)后轉(zhuǎn)差。
[Abstract]:Objective to investigate the relationship between blood glucose variability and prognosis of patients with severe cerebrovascular diseases. Methods the clinical data of 126 patients with N-ICU in intensive care unit of neurology department were analyzed, including sex, age, length of stay in hospital, time of mechanical ventilation. Acute physiological and chronic health assessment 鈪,
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