危重病患者动脉血乳酸水平与慢性健康状况评分Ⅱ相关性研究  

Correlation Study on Arterial Blood Lactate Level and Chronic Health Evaluation Ⅱ in Critically Ⅲ Patients

作　　者：张赟[1] 王艳玲[1] 张秀海[1] 

机构地区：[1]安钢职工总医院,安阳455000

出　　处：《中国卫生标准管理》2015年第27期143-144,共2页China Health Standard Management

摘　　要：目的探讨危重病患者动脉血乳酸水平与急性生理学及慢性健康状况评分Ⅱ相关性。方法选取我院接收的120例危重病患者作为本次的研究对象,将其分为存活组与死亡组,每组60例;观察比较两组患者入院24 h内的慢性健康状况评分Ⅱ(A-PAcHEⅡ)及动脉血乳酸水平;以患者A-PAcHEⅡ评分的不同将其分为A组、B组,C组3组,并对其动脉血乳酸水平进行比较。结果存活组与死亡组患者比较A-PAcHEⅡ评分及动脉血乳酸水平差异具有统计学意义(P<0.05)。B组患者的动脉血乳酸水平高于A组(P<0.05),而C组患者的动脉血乳酸水平则高于A组与B组(P<0.05)。结论动脉血乳酸水平及慢性健康状况评分Ⅱ是检测危重病患者病情变化情况的重要指标,且患者动脉血乳酸水平及慢性健康状况评分Ⅱ呈正相关。Objective To study the correlation of critical care patients with arterial blood lactate level and acute physiology and chronic health evaluation Ⅱ. Methods Chose 120 cases of critical patients receiving in our patients as the research object,were divided into survival group and death group,60 cases in each group. Compared two groups of patients＇ chronic health score Ⅱ（A-PAc HE Ⅱ） and arterial blood lactate level admitted to hospital 24 hours. In patients with different A-PAc HE Ⅱ score,they were divided into group A,group B,and group C,and carried on the comparison to the arterial blood lactic acid level. Results The survival group and death group patients were compared about the A-PAc HE Ⅱ score and and arterial blood lactate level. It had significant differences（P〈0.05）. B group of patients with arterial blood lactate level was significantly higher than group A（P〈0.05）,while patients of group C,arterial blood lactic acid level was significantly higher than that of group A and group B（P〈0.05）. Conclusion Arterial blood lactate level and chronic health evaluation Ⅱ is one of the important indicators to detect changes in critical care patients,and patients with arterial blood lactate level and chronic health evaluation Ⅱ were positively correlated.

关 键 词：危重病患者 动脉血乳酸水平 慢性健康状况评分Ⅱ 

分 类 号：R459.7[医药卫生—急诊医学]