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目的回顾性调查分析APACHII>12分入住重症医学科的危重患者血清白蛋白,前白蛋白,探讨危重患者血白蛋白水平与预后的相关性。方法回顾性分析2012-01-01~2014-12-31入住ICU,住院时间超过14 d的275例患者,依据治疗结果分为三组,死亡组(n=53),未愈组(n=89),好转组(n=133)对三组的血清白蛋白,前白蛋白分别进行比较。结果死亡组APACHEII评分,血清白蛋白,前白蛋白;非死亡组APACHEII评分,血清白蛋白,前白蛋白;未愈组APACHEII评分,血清白蛋白,前白蛋白。结论危重患者入ICU时血清白蛋白,前白蛋白与APACHEII评分,患者的预后有密切相关性。
Objective To retrospectively analyze the association between APACHII> 12 serum albumin and prealbumin in critically ill patients admitted to intensive care department and explore the relationship between serum albumin level and prognosis in critically ill patients. Methods Retrospective analysis was performed on 275 ICU patients who stayed in ICU for more than 14 days from January 2012 to December 31 2014. The patients were divided into three groups according to the treatment outcome: death (n = 53), unhealed (n = 89), improvement group (n = 133) on the three groups of serum albumin, prealbumin were compared. Results APACHEII score, serum albumin, prealbumin in death group, APACHEII score in non-death group, serum albumin, prealbumin, APACHEII score in unhealed group, serum albumin and prealbumin. Conclusions Serum albumin, prealbumin and APACHEII score in critically ill patients into ICU are closely related to the prognosis of patients.