综合ICU重症患者入室血糖与预后的关系  

The correlation between admission glucose level and prognosis in critical ill patients of comprehensive ICU

作　　者：李璐[1] 李建国[1] 杜朝晖[1] 周青[1] 胡波[1] 刘畅[1] 王静[1] 甘泉[1] 罗云[1] 蔡书翰[1] 饶歆[1] 卢章洪[1] 邓彬[1] 

机构地区：[1]武汉大学中南医院重症医学科,430071

出　　处：《临床外科杂志》2012年第9期645-647,共3页Journal of Clinical Surgery

摘　　要：目的 探讨综合ICU患者入室血糖与疾病预后的相关性.方法 选择2011年7月至2011年12月入住综合ICU的249例重症患者,按入室血糖值分为6组,A组：血糖〈4.4mmol/L（21例）,B组：血糖4.4～6.0mmol/L（26例）,C组：血糖6.1～7.7mmol/L（31例）,D组：血糖7.8～11.1mmol/L（64例）,E组：血糖11.2～13.8mmol/L（68例）,F组：血糖≥13.9mmol/L（39例）.计算各组急性生理学与慢性健康状况评分（APACHE-Ⅱ）、28d病死率、生命支持措施（床边血液净化治疗、机械通气、循环支持）平均使用例数及强效抗生素平均使用时间.结果 F组与A组所需生命支持例数更多（P〈0.05）,F组与E组强效抗生素使用时间显著延长（P〈0.05）.结论 综合ICU重症患者的入室血糖水平可为预测疾病预后提供参考依据.Objective To investigate the correlation between admission glucose level and progno- sis in ICU patients. Methods A total of 249 critical ill ICU patients were selected from July 2011 to De-cember 2011. According to the admission glucose level, They were divided into six groups, including 21 ca-ses of group A（ 〈4.4 mmol/L） ,26 cases of group B（4.4 - 6.0 mmol/L）,31 cases of group C（6.1 - 7.7 mmol/L） ,64 cases of group D（7.8 - 11.1 mmo]/L） ,68 cases of group E（ 11.2 - 13.8 mmol/L） and 39 cases of group F（ ≥ 13.9 mmol/L）. The APACHE 1] score, the 28 - day mortality, the average number of life support measures （including continuous blood purification, mechanical ventilation and circulation support） and the average duration of powerful antibiotic use of the groups were recorded and analyzed. Re- stilts The numbers of life support measures in group F and A were largest in all（ P 〈 0.05 ）. The average days of powerful antibiotic use in group F and E were significantly longer. Conclusion The admission glucose level of critical ill patients in comprehensive ICU can be used to provide a reference for predicting prognosis.

关 键 词：ICU 重症患者 血糖 预后 

分 类 号：R605[医药卫生—外科学]