杨文,金守兵,吴冬,许俊.早期低热对ICU患者感染性休克病死率的预测价值及潜在影响因素分析.[J].中南医学科学杂志.,2018,(5):495-497.
早期低热对ICU患者感染性休克病死率的预测价值及潜在影响因素分析
Analysis of the predictive value and potential influencing factors of early febrile fever in ICU patients with infectious shock mortality
投稿时间:2018-04-21  修订日期:2018-08-22
DOI:10.15972/j.cnki.43-1509/r.2018.05.012
中文关键词:  早期低热  感染性休克  ICU  预测  病死率
英文关键词:early hypothermia  septic shock  ICU  prediction  mortality rate
基金项目:
作者单位
杨文 南京市六合区人民医院 重症医学科,江苏 南京 210000 
金守兵 南京市六合区人民医院 重症医学科,江苏 南京 210000 
吴冬 南京市六合区人民医院 重症医学科,江苏 南京 210000 
许俊 南京市六合区人民医院 重症医学科,江苏 南京 210000 
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中文摘要:
      选取ICU就诊的感染性休克患者130例分析讨论早期低热对ICU患者感染性休克病死率的价值。研究发现早期低热组患者感染性休克的病死率为14.55%,病死率更高;早期低热组的舒张压水平低于体温正常组患者,P<0.05;两组患者急性生理学与慢性健康评分差别也存在统计学差异,早期低热组评分高于体温正常组;借助Cox比例回归模型分析显示早期低热为一个独立危险因素。早期低热的感染性休克病死率高于正常体温患者,早期低热是增加ICU患者感染性休克病死率的独立危险因素,值得引起医护人员重视。
英文摘要:
      patients with septic shock treated by ICU were selected to analyze the value of early low fever in the mortality of septic shock in ICU patients. The study found that the mortality rate of early low fever patients with septic shock was 14.55%, and the mortality rate was higher. Moreover, the diastolic pressure level in the early low heat group was lower than that of the normal body temperature group (P<0.05). The difference of the acute physiological and chronic health scores in the two groups was also statistically different, and the early low heat group score was higher than that of the normal body temperature group. Cox regression analysis showed that early low fever was an independent risk factor. The death rate of early low fever septic shock is higher than that of the normal body temperature. Early low fever is an independent risk factor for increasing the mortality of ICU patients with septic shock, and it is worth paying attention to the medical staff.
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