创伤患者早期血糖变化与创伤严重程度的相关性分析  

Correlation between Early Blood Glucose and ISS with Traumas

作　　者：黄玺[1] 叶宁[1] 赵涛[1] 王高生[1] 

机构地区：[1]安徽医科大学附属省立医院,合肥230001

出　　处：《安徽卫生职业技术学院学报》2011年第1期16-17,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:比较创伤后患者早期血糖值与损伤严重度评分(ISS)的关系,了解早期血糖的变化规律和创伤的严重程度的关系。方法:选创伤后2h内入住的100例创伤患者,入院即刻取静脉血进行血糖值测定,同时给每位患者进行创伤严重度评分(ISS)。根据血糖测定值分为A组(<6.1mmol/L),B组(6.1～11.1 mmol/L),C组(>11.1 mmol/L),统计各组间患者的损伤严重度评分(ISS)。结果:C组(>11.1 mmol/L)的ISS值及病死率比A组(<6.1mmol/L)及B组(6.1～11.1 mmol/L)明显增高(P<0.01)。结论:创伤患者早期血糖水平增高,血糖的高低与创伤的程度呈正相关关系(r=0.587,P<0.01)。Objective：Comparison of the relationships between early blood glucose values and injury severity score（ISS） of trauma patients,understanding the relation of early glucose and injury severity.Methods：Analysis into patients who were admitted to hospital within 2h after trauma enrolled.Of 100 cases,traumatism were tested the level of blood glucose after injury,and measured the injury severity score（ISS）.Based on the blood glucose instance,all cases were divided into three groups,A group（6.1mmol/L）,B group（6.2～11.1 mmol/L）,C group（11.1 mmol/ L）,statistics of the injury severity score（ISS）.Results：The injury severity score and death rate of the C group（11.1 mmol/ L）were distinctly higher than those of the A group（6.1mmol/L）and B group（6.1～11.1 mmol/L）（P0.01）.Conclusion：The level of the blood glucose of traumatism is markedly heightened after injury,and the extent of the trauma is positive correlation of the blood glucose.

关 键 词：创伤 血糖 损伤严重度评分(ISS) 

分 类 号：R641[医药卫生—外科学]