CAJ | 학술논문

目的：探讨重症患者血清甲状腺素水平与APACHEII评分的相关性。方法：2011年10月-2012年12月收治重症患者80例，根据病情的严重程度分为轻、中、重度3组。Ⅰ组27例，为轻度重症患者；Ⅱ组23例，为中度重症患者；Ⅲ组30例，为重度重症患者。观察3组血清甲状腺素水平变化，同时进行APACHEⅡ评分，观察血清甲状腺素变化水平与病情严重程度、APACHEⅡ评分和预后的关系。结果：中重度重症患者较轻度重症患者的甲状腺素水平低(P＜0.05)，具有统计学意义。中重度重症患者较轻度重症患者的APACHEII评分高(P＜0.05)，具有统计学意义。结论：血清甲状腺素越低患者的病情越严重，APACHEⅡ评分越高，预后越差。
목적：탐토중증환자혈청갑상선소수평여APACHEII평분적상관성。방법：2011년10월-2012년12월수치중증환자80례，근거병정적엄중정도분위경、중、중도3조。Ⅰ조27례，위경도중증환자；Ⅱ조23례，위중도중증환자；Ⅲ조30례，위중도중증환자。관찰3조혈청갑상선소수평변화，동시진행APACHEⅡ평분，관찰혈청갑상선소변화수평여병정엄중정도、APACHEⅡ평분화예후적관계。결과：중중도중증환자교경도중증환자적갑상선소수평저(P＜0.05)，구유통계학의의。중중도중증환자교경도중증환자적APACHEII평분고(P＜0.05)，구유통계학의의。결론：혈청갑상선소월저환자적병정월엄중，APACHEⅡ평분월고，예후월차。
Objective:To explore and analysis the severe serum thyroxine levels and APACHE Ⅱ score.Methods:80 cases of critically ill were admitted from October 2011 to December 2012 in our hospital.According to thethe severity of the disease,they were divided into mild,moderate and severe groups.I group of mild were 27 cases.Ⅱ group of moderate were 23 cases.Ⅲ group of severe were 30 cases.Observe changes in serum thyroxine levels of the three groups,while APACHEII score was observed changes in serum thyroxine levels with the severity of the disease,the APACHE Ⅱ score and prognosis.Results:The level of thyroxine of the moderate and severe group was lower than that of the mild group. The difference was statistically significant(P<0.05). APACHE Ⅱ score of the moderate and severe group was higher than that of the mild group.The difference was statistically significant(P<0.05).Conclusion:According to the experimental analysis of serum thyroxine lower the patient's condition more serious higher score APACHEⅡ,the worse the prognosis.