重癥全身炎癥反應(yīng)綜合征患者發(fā)生多器官功能障礙綜合征的危險因素
發(fā)布時間:2018-03-21 03:50
本文選題:全身炎癥反應(yīng)綜合征 切入點(diǎn):多器官功能障礙綜合征 出處:《山東醫(yī)藥》2016年03期 論文類型:期刊論文
【摘要】:目的探討重癥全身炎癥反應(yīng)綜合征(SIRS)患者發(fā)生多器官功能障礙綜合征(MODS)的危險因素。方法采用回顧性研究的方法,對100例重癥SIRS患者發(fā)生MODS者(MODS組)及60例未發(fā)生MODS者(非MODS組)的臨床資料進(jìn)行對比分析,然后將上述兩組差異有統(tǒng)計學(xué)意義的指標(biāo)進(jìn)行二分類Logistic多因素回歸分析。結(jié)果兩組降鈣素原(PCT)、C反應(yīng)蛋白、乳酸、肌酐、白細(xì)胞、急性生理學(xué)及慢性健康狀況評分系統(tǒng)(APACHEⅡ評分)、序貫器官衰竭估計評分(SOFA評分)、格拉斯哥昏迷評分法評分(GCS評分)相比,P均0.05;PCT、GCS評分、APACHEⅡ評分、SOFA評分與MODS的發(fā)生有關(guān)(P均0.05)。結(jié)論 PCT、GCS評分、APACHEⅡ評分、SOFA評分是重癥SIRS患者發(fā)生MODS的獨(dú)立危險因素。
[Abstract]:Objective to investigate the risk factors of multiple organ dysfunction syndrome (MODS) in patients with severe systemic inflammatory response syndrome (SIRS). The clinical data of 100 severe SIRS patients with mods and 60 patients without MODS (non-#en3# group) were compared and analyzed. Then the two groups of statistically significant indexes were analyzed by Logistic multivariate regression analysis. Results the two groups of procalcitonin C reactive protein, lactic acid, creatinine, white blood cell, Acute Physiology and chronic Health status scoring system Apache 鈪,
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