交通医学
交通醫學
교통의학
MEDICAL JOURNAL OF COMMUNICATIONS
2013年
4期
337-338,341
,共3页
胃肠功能障碍%胃肠功能衰竭%脓毒症%序贯器官衰竭评分
胃腸功能障礙%胃腸功能衰竭%膿毒癥%序貫器官衰竭評分
위장공능장애%위장공능쇠갈%농독증%서관기관쇠갈평분
gastrointestinal dysfunction and failure%sepsis%sequential organ failure assess score
目的：评估脓毒症时胃肠功能障碍和衰竭与病情严重程度及预后的相关性。方法：收治严重脓毒症79例患者，分别于入院第1天、第3天及第7天采用胃肠功能障碍和衰竭评分（gastrointestinal dysfunction and failure， GIDF）系统评估胃肠功能；同时用序贯器官衰竭（sequential organ failure assessment，SOFA）评分评估病情的严重程度，分析GIDF评分与SOFA评分的相关性，比较病死组与存活组GIDF和SOFA的差异。结果：GIDF评分与SOFA评分呈正相关（r=0.45，P＜0.05），90天病死组患者入院第1天、第3天及第7天的GIDF和SOFA评分显著高于存活组患者（P＜0.05）。结论：胃肠功能障碍与脓毒症严重程度呈显著正相关，脓毒症死亡者胃肠功能障碍和衰竭更严重。
目的：評估膿毒癥時胃腸功能障礙和衰竭與病情嚴重程度及預後的相關性。方法：收治嚴重膿毒癥79例患者，分彆于入院第1天、第3天及第7天採用胃腸功能障礙和衰竭評分（gastrointestinal dysfunction and failure， GIDF）繫統評估胃腸功能；同時用序貫器官衰竭（sequential organ failure assessment，SOFA）評分評估病情的嚴重程度，分析GIDF評分與SOFA評分的相關性，比較病死組與存活組GIDF和SOFA的差異。結果：GIDF評分與SOFA評分呈正相關（r=0.45，P＜0.05），90天病死組患者入院第1天、第3天及第7天的GIDF和SOFA評分顯著高于存活組患者（P＜0.05）。結論：胃腸功能障礙與膿毒癥嚴重程度呈顯著正相關，膿毒癥死亡者胃腸功能障礙和衰竭更嚴重。
목적：평고농독증시위장공능장애화쇠갈여병정엄중정도급예후적상관성。방법：수치엄중농독증79례환자，분별우입원제1천、제3천급제7천채용위장공능장애화쇠갈평분（gastrointestinal dysfunction and failure， GIDF）계통평고위장공능；동시용서관기관쇠갈（sequential organ failure assessment，SOFA）평분평고병정적엄중정도，분석GIDF평분여SOFA평분적상관성，비교병사조여존활조GIDF화SOFA적차이。결과：GIDF평분여SOFA평분정정상관（r=0.45，P＜0.05），90천병사조환자입원제1천、제3천급제7천적GIDF화SOFA평분현저고우존활조환자（P＜0.05）。결론：위장공능장애여농독증엄중정도정현저정상관，농독증사망자위장공능장애화쇠갈경엄중。
Objective: To evaluate the correlation of gastrointestinal dysfunction and failure with the severity and prognosis of sepsis.Methods: 79 cases of patients with severe sepsis were treated.The patients’ gastrointestinal function was evaluated by using gastrointestinal dysfunction and failure (GIDF) score system on the 1st,3rd,and 7th day after admission. At the same time,the severity was evaluated by using sequential organ failure assessment (SOFA) score system.The correla- tion of GIDF scores and SOFA scores was analysised.And the difference between GIDF scores and SOFA scores was com- pared in the death group and the survival group.Results: Positive correlation was found between GIDF scores and SOFA scores (r=0.45,P<0.05). The GIDF scores of patients in the death group within 90 days after admission were significantly higher than that in the survival group(P<0.05).Conclusion: Gastrointestinal dysfunction shows significantly positive correla- tion with septic severity.The patients who died from sepsis may be more severe in gastrointestinal dysfunction.
