CAJ | 학술논문

目的：探讨低磷血症对重症监护病房（ICU）内患者的影响。方法回顾性调查ICU内患者，血磷＜0.30mmol/L的患者进入重度低磷血症组，血磷0.30~0.80mmol/L的患者进入轻中度低磷血症组，血磷正常30例患者作为对照组。观察各组患者的血糖、血钾、血钠、血钙、血白细胞、白蛋白、急性生理功能和慢性健康状况评分系统Ⅱ（APACHEⅡ）评分、机械通气时间、病死率等指标。结果重度低磷血症组APACHEⅡ评分、机械通气时间、病死率均较血磷正常组明显增高（P＜0.05），其余各组间各指标均无明显差异。结论重度低磷血症提示患者病情严重，预后不良。发现低磷应及时纠正，可能对改善患者预后有益。
목적：탐토저린혈증대중증감호병방（ICU）내환자적영향。방법회고성조사ICU내환자，혈린＜0.30mmol/L적환자진입중도저린혈증조，혈린0.30~0.80mmol/L적환자진입경중도저린혈증조，혈린정상30례환자작위대조조。관찰각조환자적혈당、혈갑、혈납、혈개、혈백세포、백단백、급성생리공능화만성건강상황평분계통Ⅱ（APACHEⅡ）평분、궤계통기시간、병사솔등지표。결과중도저린혈증조APACHEⅡ평분、궤계통기시간、병사솔균교혈린정상조명현증고（P＜0.05），기여각조간각지표균무명현차이。결론중도저린혈증제시환자병정엄중，예후불량。발현저린응급시규정，가능대개선환자예후유익。
Objective To investigate the impact of hypophosphatemia in critically ill patients in intensive care unit(ICU). Methods The critically ill patients in ICU were analyzed retrospectively. The patient with serum phosphorus level<0.30 mmol/L were grouped into the severe hypophosphatemia group, with serum phosphorus level within 0.30-0.80 mmol/L were grouped into the mild to medium hypophosphatemia group, 30 cases of critically ill patients with normal serum phosphorus as control group. Blood glucose, potassium, sodium, calcium, white blood cells count, albumin, acute physiology and chronic health evaluation scoreⅡ(APACHE Ⅱ), duration of mechanical ventilation, mortality were compared between the three groups. Results APACHE Ⅱ score, duration of mechanical ventilation, mortality of the severe hypophosphatemia group were signiifcantly higher than of control group(P<0.05). The other index between the each groups were no signiifcantly differences. Conclusion The critically ill patients with severe hypophosphatemia prompted more serious illness, the prognosis is poor. The prompt supplying phosphorus is possible useful to improve the prognosis of patients.