摘要
目的研究院前低血糖患者的预后相关因素。方法回顾性分析自贡市区2005-2010年度204例院前低血糖患者的临床资料,采用χ2检验或Fisher精确概率法以及Mann-whitneyu检验比较低血糖意识恢复组与未恢复组临床指标差异,将初筛有意义的变量引入二分类多元Logistic回归方程确定最优回归模型。结果院前低血糖意识恢复组与意识未恢复组资料比较,病理征、症状、年龄、持续时间、GCS评分、血糖值比较差异有统计学意义(P<0.05)。多元Logistic回归结果显示,院前低血糖预后与患者年龄、血糖值、低血糖持续时间及症状有关(P<0.05)。结论高龄、血糖值低。
Objective To analyze the related factors of prognosis in patients with prehospital hypoglycemia. Methods The clinical data of 204 patients with prehospital hypoglycemia in Zigong City from 2005 to 2010 was ret-rospectively analyzed. The correlation between the prognosis of hypoglycemia and the factors chosen by chi-square test, Fisher probabilities and Mann-whitney u test was assessed by logistic regression analysis. Results Pathological syndrome, symptom, age, duration of hypoglycemia, Glasgow Coma Scale score and blood glucose concentration showed statistically significant difference between the groups with and without neurological recovery （P〈0.05）. A sig-nificant positive correlation between the prognosis of prehospital hypoglycemia and the factors （age, blood glucose concentration, duration of hypoglycemia and symptom） was found （P〈0.05）. Conclusion Older age, lower blood glu-cose concentration, longer duration of hypoglycemia, and hypoglycemia unawareness might indicate unfavourable prognosis of hypoglycemia.
出处
《海南医学》
CAS
2013年第5期663-665,共3页
Hainan Medical Journal
关键词
院前急救
低血糖
预后
Prehospital
Hypoglycemia
Prognosis
