Glasgow评分在急性创伤患者低体温发生中的预测作用  

Predictive effect of Glasgow Coma Scale on hypothermia in patients with acute trauma

作　　者：邓妍[1] 黄珍玲[1] 张莉莉[1] 李淑芳[2] 周建仪[1] 曾奕云[1] DENG Yan;HUANG Zhenling;ZHANG Lili;LI Shufang;ZHOU Jianyi;ZENG Yiyun(Department of Emergency,Traditional Chinese Medicine Hospital of Foshan,Foshan Guangdong 528000,China;Department of Nursing,Traditional Chinese Medicine Hospital of Foshan,Foshan Guangdong 528000,China)

机构地区：[1]佛山市中医院急诊科,广东佛山528000 [2]佛山市中医院护理部,广东佛山528000

出　　处：《临床与病理杂志》2019年第12期2787-2791,共5页Journal of Clinical and Pathological Research

基　　金：佛山市科技局资助项目(2014AB00319)~~

摘　　要：目的:了解急性创伤患者低体温的发生情况,分析Glasgow评分(Glasgow Coma Scale,GCS)在低体温发生中的应用价值。方法:回顾性收集2014年3月至2018年12月在佛山市中医院治疗的急性创伤患者资料,应用SPSS 22.0软件对获取的数据进行统计分析。结果:共287例急性创伤患者,其中105例(36.6%)发生低体温;不同创伤程度患者的低体温发生率差异具有统计学意义(F=57.580,P<0.05);低体温患者的GCS评分和无低体温患者的GCS评分差异具有统计学意义(P<0.05);GCS评分与低体温的发生呈负相关,相关系数为−0.490(P<0.05);受试者工作特征曲线(receiver operating characteristics,ROC)分析显示,其曲线下面积为0.785(P<0.05),并且在截断值为7分时,敏感性系数为0.575,特异性系数为0.867,约登指数最大,为0.552。结论:GCS评分对急性创伤患者发生低体温具有中等以上的预测效能,临床医护人员可据此及早实施保暖措施,避免低体温造成的不良后果。Objective:To investigate the occurrence of hypothermia in patients with acute trauma and to analyze the value of Glasgow Coma Scale(GCS)in the occurrence of hypothermia.Methods:The data of acute trauma patients treated in our hospital from March 2014 to December 2018 were retrospectively collected and analyzed by SPSS 22.0 software.Results:A total of 287 patients with acute trauma were included in this study,105 of whom had hypothermia(36.6%),the incidence of hypothermia in patients with different traumatic degrees had statistical significance(F=57.580,P<0.05),the GCS scores of patients with hypothermia and those without hypothermia had statistical significance(P<0.05),the GCS scores of patients with hypothermia and the occurrence of hypothermia were negative(P<0.05).The correlation coefficient was−0.490(P<0.05).The ROC analysis showed that the area under the curve was 0.785(P<0.05),and when the truncation value was 7,the sensitivity coefficient was 0.575,the specificity coefficient was 0.867,and the Yoden index was 0.552.Conclusion:GCS score can predict hypothermia in patients with acute trauma more than moderately.Clinicians and nurses can implement warming measures as soon as possible to avoid the adverse consequences of hypothermia.

关 键 词：创伤 低体温 GLASGOW评分 预测 

分 类 号：R65[医药卫生—外科学]