摘要
目的:探讨血清肌钙蛋白I(cTnI)、尿酸(UA)水平与急诊创伤患者死亡率之间的相关性。方法:回顾性分析2017年2月-2020年5月笔者所在医院收治的152例急诊创伤患者临床资料(疾病严重程度:轻度138例,中度11例,重度3例;预后:死亡14例,存活138例),比较不同疾病严重程度、预后急性创伤患者血清cTnI、UA水平,分析血清cTnI、UA水平与急性创伤患者疾病严重程度、预后相关性。结果:死亡组血清cTnI、UA水平高于存活组,差异有统计学意义(P<0.05);重度组血清cTnI、UA水平高于中度组、轻度组,中度组血清cTnI、UA水平高于轻度组,差异均有统计学意义(P<0.05);血清cTnI、UA水平与急性创伤患者疾病严重程度、预后成正相关性(P<0.05)。结论:血清cTnI、UA水平与急诊创伤患者疾病严重程度和死亡率成正相关,可将其作为评估患者病情严重程度、预测生存状况的常用指标。
Objective:To explore the correlation between serum troponin I(cTnI),uric acid(UA)levels and mortality in emergency trauma patients.Method:A retrospective analysis of the clinical data of 152 emergency trauma patients admitted to our hospital from February 2017 to May 2020(severity of the disease:138 cases of mild,11 cases of moderate,3 cases of severe;prognosis:14 deaths,survival 138 cases).The serum cTnI and UA levels of acute trauma patients with different disease severity and prognosis were compared,and the correlation between serum cTnI and UA levels and the disease severity and prognosis of acute trauma patients was analyzed.Result:The levels of serum cTnI and UA in the death group were higher than those in the survival group,and the difference was statistically significant(P<0.05);the levels of serum cTnI and UA in the severe group were higher than those in the moderate and mild groups,and the serum cTnI and UA level in the moderate group was higher than that of the mild group,and the difference was statistically significant(P<0.05);serum cTnI and UA levels were positively correlated with the severity of disease and prognosis of acute trauma patients(P<0.05).Conclusion:Serum cTnI and UA levels are positively correlated with the severity of illness and mortality in emergency trauma patients,and they can be used as common indicators to assess the severity of the patient's illness and predict survival.
作者
张磊
郭卫东
ZHANG Lei;GUO Weidong(Zhangjiagang Fifth People’s Hospital,Zhangjiagang 215600,China)
出处
《中外医学研究》
2021年第6期53-55,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
江苏省第十五批“六大人才高峰”高层次人才选拔培养资助项目(WSN-270)。
