摘要
目的探讨不同体质量指数对肺栓塞患者临床特点和生存状况的影响。方法收集2019年8月—2020年8月山西白求恩医院收治的112例肺栓塞患者,根据患者体质量指数分为正常体重组(对照组)和肥胖组(实验组)。患者肥胖的标准依照"中国成人超重和肥胖症预防控制指南"。对比两组患者肺血栓栓塞症(pulmonary thromboembolism,PTE)相关症状,主要包括:咳嗽、发热、呼吸困难、咯血、下肢肿胀、下肢疼痛。对比两组患者住院期间实验室检查结果,主要包括:白细胞、红细胞压积、血小板、血红蛋白、总胆红素、总胆固醇等。对比两组患者PTE分级:参照2014年欧洲心脏病学会的"急性肺栓塞诊治指南",对比两组患者住院死亡率。结果实验组患者下肢肿胀23例(51.11%),明显多于对照组[16例(23.88%)],组间差异具有统计学意义(P<0.05);两组患者在咳嗽、发热、呼吸困难、咯血、下肢疼痛等临床症状上差异无统计学意义(P>0.05)。实验组患者的红细胞压积、血红蛋白数分别为[(39.82±5.03)%、(131.48±19.29)g/L],明显高于对照组[(36.28±7.41)%、(122.23±21.02)g/L],组间差异具有统计学意义(P<0.05)。两组患者在白细胞、血小板、总胆红素、总胆固醇等方面差异均无统计学意义(P>0.05)。两组患者在PTE分级构成方面差异无统计学意义(P>0.05),实验组患者住院死亡数为3例(6.67%),明显低于对照组[15例(22.39%)],差异具有统计学意义(P<0.05)。结论肥胖肺栓塞患者下肢肿胀情况、红细胞压积、血红蛋白数明显高于正常体重肺栓塞患者,但是肥胖肺栓塞患者预后情况较好。
Objective To explore the effects of different body mass index on clinical characteristics and survival status of patients with pulmonary embolism.Methods A retrospective collection of 112 patients with pulmonary embolism who were treated in our hospital from August 2019 to August 2020 was divided into normal body reconstitution(control group)and obesity group(experimental group)according to the patient’s body mass index.The standard of obesity in patients is in accordance with the"Guidelines for the Prevention and Control of Overweight and Obesity in Adults in China".PTE-related symptoms were compared between the two groups,including cough,fever,dyspnea,hemoptysis,swelling of the lower extremities,and pain in the lower extremities.The results of laboratory tests during hospitalization were compared between the two groups,including white blood cells,hematocrit,platelets,hemoglobin,total bilirubin,and total cholesterol.PTE grading was compared between the two groups:refer to the“Guidelines for the Diagnosis and Treatment of Acute Pulmonary Embolism”of the European Society of Cardiology in 2014 to compare the hospital mortality rates of the two groups.Results In the experimental group,the swelling of the lower extremities was significantly higher in 23 cases(51.11%)than that of the control group(23.88%).The difference between the two groups was statistically significant(P<0.05).The two groups had cough,fever,dyspnea,and hemoptysis.There was no significant difference in clinical symptoms such as lower extremity pain(P>0.05).The hematocrit and hemoglobin numbers of the experimental group were(39.82±5.03)%and(131.48±19.29)g/L,which were significantly higher than those of the control group(36.28±7.41)%and(122.23±21.02)g/L.The difference was statistically significant(P<0.05).There were no significant differences in white blood cells,platelets,total bilirubin and total cholesterol between the two groups(P>0.05).There was no significant difference in the PTE classification between the two groups(P>0.05).The numbe
作者
路鹏
赵晨辉
魏子清
王玉璇
LU Peng;ZHAO Chen-hui;WEI Zi-qing;WANG Yu-xuan(Department of Thoracic Surgery,Shanxi Bethune Hospital,Shanxi Academy of Medical Sciences,Taiyuan,Shanxi 030032,China)
出处
《医药论坛杂志》
2021年第24期9-12,共4页
Journal of Medical Forum
基金
山西省应用基础研究计划项目(201601D102069)
关键词
体质量指数
肺栓塞
临床特点
生存状况
Body mass index
Pulmonary embolism
Clinical features
Survival status
