血糖变异性与重症患者预后的相关性研究  

Research of correlation between blood glucose variability and prognosis of critical patients

作　　者：孟祥丽[1] 扈林[1] 

机构地区：[1]山东省邹城市人民医院重症医学科,273500

出　　处：《中国实用医药》2016年第9期39-40,共2页China Practical Medicine

摘　　要：目的探讨血糖变异性与重症患者预后的关系。方法 80例入住本院ICU并且测量10次以上血糖的非糖尿病危重症患者,分为死亡组(29例)和生存组(51例)。对比两组的血糖指标情况,并研究各因素与死亡的相关性。结果与生存组相比,死亡组患者平均住ICU时间更短,血糖标准差(SD)和变异系数(CV)更大,差异有统计学意义(P<0.05)。急性生理与慢性健康状况(APACHEⅡ)评分、器官衰竭数量、血糖标准差、平均血糖水平(Glu Ave)、入ICU时血糖水平(Glu Adm)5个因素均与死亡呈显著相关。结论重症患者血糖变异性与其预后密切相关。Objective To investigate relationship between blood glucose variability and prognosis of critical patients. Methods A total of 80 critical patients without diabetes mellitus, who took over 10 blood glucose detection in ICU, were divided into death group（29 cases） and survival group（51 cases）. Comparison was made on blood glucose index between the two groups for research of correlation between index and death.Results Comparing with the survival group, the death group had shorter average ICU stay time, and larger blood glucose standard deviation（SD） and variable coefficient（CV）. Their difference had statistical significance（P〈0.05）.Acute physiology and chronic health evaluation Ⅱ（APACHE Ⅱ） score, number of failed organ, blood glucose standard deviation, average blood glucose level（Glu Ave）, blood glucose level during ICU admission（Glu Adm）were all remarkably correlated with death. Conclusion Blood glucose variability in critical patients was closely correlated with their prognosis.

关 键 词：血糖变异性 重症患者 预后 

分 类 号：R587.1[医药卫生—内分泌]