摘要
目的分析和探讨应用血乳酸(LAC)、血清C-反应蛋白(CRP)及红细胞分布宽度(RDW)指标对危重病患者进行早期动态监测的临床应用情况和效果。方法随机抽选2015年1月–2015年12月在该院重症监护室进行治疗的360例危重病患者,将其根据预后结果进行分组,即:非死亡组患者200例,死亡组患者160例。分别对治疗期间的LAC、CRP以及RDW指标情况进行对比、统计和分析。结果非死亡组患者在不同时间点的LAC和CRP均显著低于死亡组患者,各时间点的对比差异均有统计学意义(P<0.05)。但两组患者在不同时间点的RDW指标变化不大,对比差异均无统计学意义(P>0.05)。结论对危重病患者进行LAC、CRP早期动态监测,能够对患者的预后情况作出较为准确的判断,但RDW的效用不大。
【Objective】To analyze and discuss the clinical application and effect of LAC（lactic acid）, serum CRP（C-reactive protein）, RDW（red cell distribution width） indexes in early dynamic monitoring of critically ill patients.【Methods】Totally 360 cases of critically ill patients treated in the intensive care unit between January 2015 and December 2015 were stochastically chosen. They were grouped according to the outcome of the prognosis, namely： 200 cases in non-death group, 160 cases in death group. The LAC, CRP and RDW indexes during the treatment were compared and analyzed.【Results】The LAC and CRP at different time points of patients in the non-death group were significantly lower than those of patients in the death group, and the differences were statistically significant（P 0.05）. But the RDW index of the two groups of patients at different time points changed little, and the contrast was not statistically significant（P 0.05）.【Conclusion】Early dynamic monitoring LAC, CRP in critically ill patients can make a more accurate judgment of the prognosis of patients, but the utility of RDW can not.
作者
符秋红
FU Qiuhong(Emergency Department, Central Hospital of Longhua New District of Shenzhen, Shenzhen, Guangdong 518110, China)
出处
《中国医学工程》
2017年第2期8-10,共3页
China Medical Engineering
关键词
危重病
血乳酸
血清C-反应蛋白
红细胞分布宽度
早期动态监测
critical illness
lactic acid
C-reactive protein
red cell distribution width
early dynamic monitoring
