摘要
目的探讨血清钠在评估卒中相关性肺炎(SAP)预后中的价值。方法选择2009年7月—2012年5月在我院神经内科住院治疗的SAP患者47例,根据患者的预后分为好转组37例和死亡组10例。根据患者血清钠水平分为重度低钠组7例、中度低钠组11例、轻度低钠组16例和非低钠组13例。所有患者在入院肺炎诊断明确后的24 h内抽取清晨空腹抗凝血检测血常规及血清钠,同时记录患者的生命体征、白细胞计数、急性生理与慢性健康状况(APACHEⅡ)评分。结果好转组患者白细胞计数、APACHEⅡ评分和血清钠水平均低于死亡组(P<0.05);亚组分析显示,随着血清钠水平降低,SAP的病死率升高,组间比较差异均有统计学意义(P<0.05)。结论 SAP伴低钠血症者,APACHEⅡ评分高,病死率高。血清钠水平可能作为SAP患者预后的重要临床评估指标之一。
Objective To investigate the prognostic value of serum sodium in the assessment of stroke - associated pneumonia （SAP）. Methods 47 patients with SAP hospitalized in our hospital were selected from July 2009 to May 2012, they were divided into improved group of 37 cases and death groups of 10 cases according to the patients＇prognosis, and were divided into severe hyponatremia group of 7 cases, moderate hyponatremia group of 11 cases, mild hyponatremia group of 11 cases and non - sodium group of 13 cases. All patients taken anticoagulant blood testing and serum sodium after diagnosis of pneumonia within 24 h. While vital signs, white blood cell count, Acute Physiology and Chronic Health （ APACHE Ⅱ ） scores were recor- ded. Results The white blood cell count, APACHE Ⅱ scores and serum sodium levels of improved group were lower than those of death group （ P 〈 0. 05 ） ; Sub - group analysis showed that, with levels of serum sodium reduced, SAP＇s mortality increased, the difference was statistically significant in subgroups （ P 〈 0. 05 ）. Conclusion The APACHE Ⅱ scores and mortality were higher in SAP patients with hyponatremia, serum sodium levels may be an important clinical indicators for the prognosis of SAP.
出处
《实用心脑肺血管病杂志》
2013年第12期19-20,共2页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词
钠
卒中相关性肺炎
预后
Sodium
Stroke associated pneumonia
Prognosis
