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目的研究凝血功能检测在评估ICU重症休克患者预后中的价值。方法以2014年3月至2016年3月ICU收治的125例重症休克患者为研究对象,依据28 d预后情况将患者分为存活组(95例)与死亡组(30例),比较分析两组患者APACHEII评分、凝血功能、乳酸水平等相关资料,并通过Logistic多因素回归分析影响重症休克患者预后(死亡)的独立危险因素。结果 Logistic回归分析显示ICU重症休克患者预后独立危险因素为APACHEII评分,乳酸、D-D水平。结论凝血功能四项检测对ICU重症休克患者预后评估有一定的价值,同时乳酸水平、D-D水平可作为重症休克患者死亡独立危险因素。
Objective To investigate the value of coagulation test in assessing the prognosis of ICU patients with severe shock. Methods 125 patients with severe shock admitted to the ICU from March 2014 to March 2016 were enrolled in this study. Patients were divided into survival group (n = 95) and death group (n = 30) according to the prognosis of 28 days. APACHEII score, coagulation function, lactate level and other related data. Logistic regression analysis was used to analyze the independent risk factors influencing prognosis (death) in patients with severe shock. Results Logistic regression analysis showed that the independent prognostic risk factors for severe ICU patients were APACHEII score, lactic acid and D-D levels. Conclusion The four tests of coagulation function have certain value in the prognosis evaluation of ICU patients with severe shock, and the levels of lactate and D-D can be used as independent risk factors of death in patients with severe shock.