论文部分内容阅读
目的探讨儿科重症监护病房(PICU)患儿胰岛素水平与病情进展的关系。方法回顾性分析本院PICU收治的262例患儿的临床资料,根据患儿入院时胰岛素水平将其分为正常胰岛素组112例,轻度升高组78例,重度升高组72例,对比分析三组患儿预后情况。结果三组胰岛素水平比较差异具有统计学意义(P<0.05);与正常胰岛素组及轻度升高组相比,重度升高组APACHEⅡ评分、SAPS Ⅱ评分、SOFA评分较高,而PCIS评分则较低,差异有统计学意义(P<0.05);重度升高组多数并发症发生率、死亡率显著高于轻度升高组及正常胰岛素组,PICU时间、平均住院时间长于轻度升高组及正常胰岛素组,差异有统计学意义(P<0.05)。结论通过动态监测PICU患儿胰岛素水平对预测患儿病情进展及预后具有重要的意义。
Objective To investigate the relationship between the insulin level and the progression of patients in pediatric intensive care unit (PICU). Methods The clinical data of 262 children admitted to our PICU were retrospectively analyzed. According to the level of insulin on admission, 112 children were divided into normal insulin group, 78 mild increase group and 72 severe increase group. Analysis of three groups of children with prognosis. Results Compared with the normal insulin group and the mildly elevated group, APACHEⅡscore, SAPS Ⅱscore and SOFA score were significantly higher in the three groups (P <0.05), while those in the PCIS score (P <0.05) .Most complication rates and mortality rates in severe group were significantly higher than those in mild group and normal group (P <0.05), PICU time and average length of hospital stay were longer than those in mild group Group and normal insulin group, the difference was statistically significant (P <0.05). Conclusion The dynamic monitoring of insulin levels in children with PICU is of great significance in predicting the progression and prognosis of children.