中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
34期
103-104
,共2页
儿童%脓毒性休克%血清胆固醇%预后
兒童%膿毒性休剋%血清膽固醇%預後
인동%농독성휴극%혈청담고순%예후
Children%Septic shock%Serum cholesterol%The prognosis
目的：探讨血清胆固醇水平与儿童脓毒性休克预后的关系。方法：收治脓毒性休克患儿53例，好转、存活24例，死亡29例；对53例患儿进行胆固醇监测，同时对各脏器功能进行监测，观察胆固醇水平与预后的关系。结果：死亡组的胆固醇值与存活组相比，差异有统计学意义。随着功能障碍器官数目的增加，胆固醇值越低，病死率越高。logistic回归分析中，模型检验χ2=26.781，P=0.000，模型的差异有统计学意义。胆固醇OR值=0.565，OR＜1，胆固醇不能作为脓毒性休克的死亡危险因素。结论：监测血清胆固醇水平有助于脓毒性休克患儿评估病情的严重程度及预测预后。
目的：探討血清膽固醇水平與兒童膿毒性休剋預後的關繫。方法：收治膿毒性休剋患兒53例，好轉、存活24例，死亡29例；對53例患兒進行膽固醇鑑測，同時對各髒器功能進行鑑測，觀察膽固醇水平與預後的關繫。結果：死亡組的膽固醇值與存活組相比，差異有統計學意義。隨著功能障礙器官數目的增加，膽固醇值越低，病死率越高。logistic迴歸分析中，模型檢驗χ2=26.781，P=0.000，模型的差異有統計學意義。膽固醇OR值=0.565，OR＜1，膽固醇不能作為膿毒性休剋的死亡危險因素。結論：鑑測血清膽固醇水平有助于膿毒性休剋患兒評估病情的嚴重程度及預測預後。
목적：탐토혈청담고순수평여인동농독성휴극예후적관계。방법：수치농독성휴극환인53례，호전、존활24례，사망29례；대53례환인진행담고순감측，동시대각장기공능진행감측，관찰담고순수평여예후적관계。결과：사망조적담고순치여존활조상비，차이유통계학의의。수착공능장애기관수목적증가，담고순치월저，병사솔월고。logistic회귀분석중，모형검험χ2=26.781，P=0.000，모형적차이유통계학의의。담고순OR치=0.565，OR＜1，담고순불능작위농독성휴극적사망위험인소。결론：감측혈청담고순수평유조우농독성휴극환인평고병정적엄중정도급예측예후。
Objective:To explore the relationship between serum cholesterol and prognosis of septic shock in children.Methods:53 children with septic shock were selected,24 cases were improved,29 cases died.Cholesterol and the function of each organ of 53 patients were monitored,we observed the relationship between cholesterol level and prognosis.Results:The difference of cholesterol was statistically significant between the death group and the survival group.With the increase of the number of dysfunctional organs,the lower of the cholesterol level,the mortality rate was gradually increased.In the logistic regression analysis, model testχ 2=26.781,P=0.000,the model had statistical significance.Cholesterol OR=0.565,OR<1,cholesterol can not be a risk factor for septic shock.Conclusion:Monitoring of serum cholesterol level was helpful to evaluate the severity and prognosis of patients with septic shock.
