糖尿病新世界
糖尿病新世界
당뇨병신세계
Diabetes New World
2015年
21期
126-128
,共3页
空腹血糖%ICU%感染%预后
空腹血糖%ICU%感染%預後
공복혈당%ICU%감염%예후
Fasting blood glucose%ICU%Infection%Prognosis
目的 探讨不同血糖水平对ICU危重症患者感染及预后的影响. 方法 将104例空腹血糖(FBG)升高的(FBG>6.1mmol/L)ICU危重症患者按FBG值分为A组(6.1 mmol/L<FBG<10.0 mmol/L,n=58)和B组(FBG>10.0mmol/L,n=46),对照分析2组患者的感染状况及预后. 结果 B组的感染发生率和死亡率为60.87%和43.48%, 明显高于A 组的37.93%和 20.69%(P<0.05), 但 2 组的 MODS 发生率差异无统计学意义 (P>0.05),B 组呼吸系统感染发生率为50.00%,明显高于A组的31.03%(P<0.05). B组G-菌的感染率为34.78%,明显高于A组的17.24%(P<0.05),2组G+菌和真菌的感染率比较差异无统计学意义(P>0.05). 结论 ICU高血糖(FBG>10.0 mmol/L)患者的感染发生率,以G-菌感染为主,且预后较差,ICU患者的FBG最好控制在10.0 mmol/L以下.
目的 探討不同血糖水平對ICU危重癥患者感染及預後的影響. 方法 將104例空腹血糖(FBG)升高的(FBG>6.1mmol/L)ICU危重癥患者按FBG值分為A組(6.1 mmol/L<FBG<10.0 mmol/L,n=58)和B組(FBG>10.0mmol/L,n=46),對照分析2組患者的感染狀況及預後. 結果 B組的感染髮生率和死亡率為60.87%和43.48%, 明顯高于A 組的37.93%和 20.69%(P<0.05), 但 2 組的 MODS 髮生率差異無統計學意義 (P>0.05),B 組呼吸繫統感染髮生率為50.00%,明顯高于A組的31.03%(P<0.05). B組G-菌的感染率為34.78%,明顯高于A組的17.24%(P<0.05),2組G+菌和真菌的感染率比較差異無統計學意義(P>0.05). 結論 ICU高血糖(FBG>10.0 mmol/L)患者的感染髮生率,以G-菌感染為主,且預後較差,ICU患者的FBG最好控製在10.0 mmol/L以下.
목적 탐토불동혈당수평대ICU위중증환자감염급예후적영향. 방법 장104례공복혈당(FBG)승고적(FBG>6.1mmol/L)ICU위중증환자안FBG치분위A조(6.1 mmol/L<FBG<10.0 mmol/L,n=58)화B조(FBG>10.0mmol/L,n=46),대조분석2조환자적감염상황급예후. 결과 B조적감염발생솔화사망솔위60.87%화43.48%, 명현고우A 조적37.93%화 20.69%(P<0.05), 단 2 조적 MODS 발생솔차이무통계학의의 (P>0.05),B 조호흡계통감염발생솔위50.00%,명현고우A조적31.03%(P<0.05). B조G-균적감염솔위34.78%,명현고우A조적17.24%(P<0.05),2조G+균화진균적감염솔비교차이무통계학의의(P>0.05). 결론 ICU고혈당(FBG>10.0 mmol/L)환자적감염발생솔,이G-균감염위주,차예후교차,ICU환자적FBG최호공제재10.0 mmol/L이하.
Objective To study the effect of different blood glucose levels on prognosis and infection of stress hyperglycemia patients in the ICU. Methods 104 cases stress hyperglycemia patients with high fasting blood glucose (FBG>6.1mmol/L)in the ICU were divided into group A(6.1 mmol/L< FBG<10.0 mmol/L,n=58)and group B(FBG>10.0 mmol/L,n=46)by FBG value,contrast analysis the infection status and prognosis of two groups patients. Results The infection rate and mortality rate of group B were 60.87% and 43.48%,were significantly higher than 37.93% and 20.69% of group A (P<0.05),but the MODS rate was no statistical difference between group A and group B (P>0.05),the infection rate of respiratory system of group B was 47.82%,that was ignificantly higher than 31.03%of group A(P<0.05). The G- bacteria infection rate of group B was 34.78%,that was ignificantly higher than 17.24 of group A (P<0.05),G+ bacteria infection rate and fungi nfection ratewere no statistical difference between group A and group B (P>0.05). Conclusion ICU patients with high blood glucose (FBG>10.0 mmol/L) have higher infection incidenc and mortality rates,and the prognosis is poorer,FBG had better control under tendency for 10.0 mmol/L in ICU patients.
