急危重症患者体温变化与预后相关性分析  

The Correlation Analysis Between the Temperature Change and Prognosis in Acute Severe Patients

作　　者：邹强 苗挺[2] 曾洪伟[3] 李和莅[4] 陈黔斌 温天明[2] 韩文[6] 

机构地区：[1]成都市急救指挥中心,610041 [2]成都市第一人民医院,610041 [3]成都市第九人民医院,610015 [4]成都市第二人民医院,610017 [5]成飞医院,610092 [6]成都市第五人民医院,四川成都611130

出　　处：《现代临床医学》2011年第5期362-363,共2页Journal of Modern Clinical Medicine

摘　　要：目的:探讨急危重症患者体温变化与发病、预后关系。方法:将入院抢救≥24 h的急危重症患者156例根据体温分为发热组(体温>37.5℃)、体温过低组(体温<36℃)、体温正常组(体温36～37.5℃)3组,进行组间发病与死亡分析比较。结果:发热组42例,死亡11例(26.19%);体温过低组38例,死亡14例(36.84%);体温正常组76例,死亡10例(13.16%)。3组入科APACHEⅡ≥20的病死率依次为体温过低组>发热组>体温正常组。结论:对急危重症患者来说,发热与体温过低均预后较差,体温过低较发热预后更差。感染、入科APACHEⅡ≥20与年龄是影响发热与体温过低患者预后的独立危险因素。Objective:To analysed the correlation between the temperature change and prognosis in acute severe patients.Methods:156 cases(including 35 death) were divided into 3 groups,fever group(T>37.5 ℃)、hypothermia group(T<36 ℃),normal temperature group(T 36-37.5 ℃);and analysed on morbidity and mortality,and had T test among groups.Results:Fever group: there were 11 deaths(31.43%) in 42 cases;hypothermia group: there were 14 deaths(40%)in 38 cases;control group: there were 10 deaths(28.57%) in 76 cases,the mortality rate were hypothermia group > fever group > control group(P<0.05),there was significance difference of statistics.Conclusion:fever and hypothermia can increase the mortality,the hypothermia patients have worse prognosis.Infection,APACHEⅡ≥20 and age are the independent factors of affectting the prognosis.

关 键 词：急危重症 发热 体温过低 感染 预后 

分 类 号：R339.6[医药卫生—人体生理学]