血小板减少症对重症监护病房危重患者预后的判断研究  

作　　者：李燕军[1] 周良济 郭云洁 王凤永[1] 

机构地区：[1]广东省南雄市人民医院,广东512400

出　　处：《当代医学》2014年第10期87-88,共2页Contemporary Medicine

摘　　要：目的：探讨血小板减少症对重症监护病房（ICU）危重患者预后的判断意义。方法选择2012年1月～2013年3月广东省南雄市人民医院ICU危重患者152例作为研究对象，分析患者入院24 h内急性生理学及慢性健康状况评分Ⅱ（APACHEⅡ）评分与血小板计数的关系，并按照患者的临床预后分为死亡组50例和存活组102例，比较2组的血小板计数。结果 APACHEⅡ评分0～20分的ICU危重患者血小板计数为（86.10±16.43）×10^9/L，21～40分为（65.58±15.24）×10^9/L，＞40分为（49.81±12.20）×10^9/L，ICU危重患者的血小板计数与APACHEⅡ评分显著相关（r=-1.476，P＜0.05），APACHEⅡ评分越高，血小板减少越显著；死亡组血小板计数为（58.21±8.90）×10^9/L，显著低于存活组的（65.45±10.11）×10^9/L，差异有统计学意义（t=4.310，P＜0.05）。结论 ICU危重患者静脉血小板计数随着APACHEⅡ评分的增高而减少，是危重病严重程度的监测指标，血小板减少症可以作为判断ICU危重患者预后的临床项目。Objective To study the prognosis judgement of thrombocytopenia for critical patients in intensive care unit（ICU）.Method From January 2012 to March 2013 in our hospital ICU, 152 cases critical patients were selected as the objects of study, they were concluded within 24 h hospitalized chronic health evaluationⅡ （APACHEⅡ） score and platelet levels relevant information, and they were divided into death group and survival group according with the clinical prognosis, the platelet levels of two groups were compared.Results The platelet levels in patients with APACHEⅡ score 0-20 points was （86.10±16.43）×10^9/L, 21-40 points was （65.58±15.24）×10^9/L,＆gt;40 points was （49.81±12.20）×10^9/L, the platelet levels in patients with APACHEⅡ score was signiifcantly correlated （P〈0.05）, APACHEⅡ score higher the more signiifcant thrombocytopenia; the platelet levels of death group was （58.21±8.90）×10^9/L, signiifcantly lower than （65.45±10.11）×10^9/L of the survival group, the difference was statistically signiifcant （P〈0.05）.Conclusion The platelet levels in critical patients in ICU is increased with the APACHEⅡ score increasing, it is monitoring indicators for the severity of critical illness, and thrombocytopenia is clinical project for the prognosis judgement of thrombocytopenia for critical patients in ICU.

关 键 词：血小板减少症 重症监护病房 急性生理学及慢性健康状况评分Ⅱ ACUTE PHYSIOLOGY and CHRONIC health evaluationⅡ 

分 类 号：R459.7[医药卫生—急诊医学]