在ICU住院的患者中对低磁性血的研究
Kakarlapudi Santosh Raju1, Janapareddi V BhaskaraRao2, Bobbili Tarun Kesava Naidu1
1General Medicine, Maharajah's Institute of Medical Sciences (MIMS), Vizianagaram, IND.
Cureus
|August 17, 2023
概括
危急病患者的低磁热血与侵入性通风的增加需求和更长时间的呼吸辅助有关. 这种电解质失衡还与重症监护病房中较高的死亡率有关.
科学领域:
- 关键护理医学 关键护理医学
- 电解质平衡的电解质平衡是什么
- 临床生物化学 临床生物化学
背景情况:
- (Mg2+) 是第二个最丰富的细胞内离子,对神经肌肉功能至关重要.
- 与其他电解质障碍相比,缺乏症 (低血症) 经常被忽视.
- 了解低磁血症对重症患者的影响对于改善结果至关重要.
研究的目的:
- 调查危急病重症监护室 (ICU) 患者中导致低磁血的因素.
- 为了确定低磁血症对ICU患者结局的影响,包括通风需求和死亡率.
主要方法:
- 对100名危急病患ICU患者的前性观察研究 (50例低血症,50例正常的对照).
- 血清含量是在入院后24小时内测量出来的.
- 评估的结果包括APACHE II评分,ICU停留时间,以及呼吸器支持需求和持续时间.
主要成果:
- 低磁热血症患者 (平均Mg2+1.19 mg/dL) 的侵袭性通风率 (48%对28%) 和支持持续时间 (平均10天对3天) 显着更高.
- 低磁性血症组的死亡率明显高 (28%对10%).
- 在ICU停留时间或需要非侵入性通风方面没有发现显著差异.
结论:
- 危急病患者的低磁热血症与侵入性机械通风的需要和持续时间显著增加有关.
- 在患有低磁性血症的重症患者中观察到较高的死亡率.
- 在ICU患者中早期识别和管理水平可能对改善预后至关重要.
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