CAJ | 학술논문

目的：观察血糖升高对颌面间隙感染患者预后的影响,探讨患者入科时血糖水平在颌面间隙感染危险评估中的重要性.方法便利抽样选取2008年1月至2012年1月收住乐山市人民医院颌面外科的颌面感染患者112例,根据入科时血糖值将病例分为三组：血糖4．0~9．9 mmol/L为 A组；10．0~15．9 mmol/L为 B组；≥16．0 mmol/L为 C组,回顾性分析三组患者并发症发生率及预后指标之间的差异.结果三组入科血糖水平与改良早期预警评分(modafied early warning score, MEWS)和全身炎症反应综合征评分(systemic inflammatory response syndrome,SIRS)成正相关(r＝0．68、0．72,均P＜0．01),且三组间的并发症发生率和预后指标的差异有统计学意义(P＜0．01).结论应高度重视颌面间隙感染患者的入科血糖水平,其有助于护理人员快速判断病情及预后,并实施分级护理.
목적：관찰혈당승고대합면간극감염환자예후적영향,탐토환자입과시혈당수평재합면간극감염위험평고중적중요성.방법편리추양선취2008년1월지2012년1월수주악산시인민의원합면외과적합면감염환자112례,근거입과시혈당치장병례분위삼조：혈당4．0~9．9 mmol/L위 A조；10．0~15．9 mmol/L위 B조；≥16．0 mmol/L위 C조,회고성분석삼조환자병발증발생솔급예후지표지간적차이.결과삼조입과혈당수평여개량조기예경평분(modafied early warning score, MEWS)화전신염증반응종합정평분(systemic inflammatory response syndrome,SIRS)성정상관(r＝0．68、0．72,균P＜0．01),차삼조간적병발증발생솔화예후지표적차이유통계학의의(P＜0．01).결론응고도중시합면간극감염환자적입과혈당수평,기유조우호리인원쾌속판단병정급예후,병실시분급호리.
Objective To observe the effect of blood glucose increase on the prognosis of patients with maxillo-facial spacial infection,and discuss the importance of department entrance blood sugar level in maxillo-facial spacial infection risk assessment.Methods By convenience sampling,1 1 2 patients with max-illo-facial spacial infection were selected and divided into three groups based on department entrance blood sugar index:group A,the blood sugar tendency of 4.0~9.9 mmol/L;group B,the blood sugar tendency of 10.0~15.9 mmol/L;group C,blood sugar level ≥16.0 mmol/L,the incidence of complications and the difference between prognosis index were analyzed restropectively.Results The department entrance blood sugar levels of three groups were positively correlated with modified early warning score and systemic in-flammatory response syndrome score (r=0.68,0.72,all P<0.01).The incidence of complications and prognosis between three groups had significant difference (P<0.01).Conclusion It is necessary to pay highly intention to the department entrance blood sugar level of patients with maxillo-facial spacial infec-tion,which helpful for nursing staffs to identify the condition and prognosis and implement grading nursing.