血清水平的研究,在密集护理病房内被输血症患者录取的患者
1Department of General Medicine, MS Ramaiah Medical College, Bengaluru, India.
Kathmandu University medical journal (KUMJ)
|October 6, 2023
概括
低血症,或低水平,在重症败血症患者中很常见,并且与更糟糕的结果有关. 监测对于改善重症监护病房的临床结果至关重要.
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
- 败血症病理生理学病理生理学
背景情况:
- 对于免疫功能至关重要,在败血症的发展中起着关键作用.
- 缺乏症是在重症监护室 (ICU) 患者中未被认可的电解质失衡.
- 败血症的发病因子受到调节的免疫反应的显著影响.
研究的目的:
- 调查血清水平与败血症患者的结果之间的关联.
- 为了确定状况与机械通风的持续时间和需要之间的关系.
- 探索血清与重症监护室 (ICU) 停留时间和患者整体预后的相关性.
主要方法:
- 一项前性观察性研究,涉及150名入住ICU的成年败血症患者.
- 患者被分为两组 (每组n=75) 纳尔马格尼西米亚 (正常的) 和低 (低).
- 组间的顺序性器官衰竭评估 (SOFA) 评分,ICU停留时间,机械通风需求和死亡率的比较.
主要成果:
- 低磁血症组的SOFA平均得分显著更高 (5.87比3.85).
- 低磁性血症患者在ICU停留时间较长 (7.21天与5.24天) 和机械通风持续时间较长 (4.05天与1.13天).
- 低磁性血症组的死亡率明显高 (33%对4%),所有比较均为p < 0.001.
结论:
- 低磁血是重症性败血症患者的显著和普遍的电解质异常.
- 低磁血,SOFA评分和机械通风独立预测ICU败血症患者的死亡率.
- 建议定期监测ICU患者的水平,以减轻不良临床结果.
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