论文部分内容阅读
目的探讨低胆固醇血症在危重症患者中的意义。方法统计1 030例不同原发病的危重症患者的低胆固醇血症发生率,比较不同胆固醇浓度患者的APACHEⅡ评分、病死率。结果脓毒症组、重症感染组、重症胰腺炎组低胆固醇血症发生率明显高于外科大手术术后组,低胆固醇血症组的APACHEⅡ评分、病死率明显高于胆固醇正常组,差异有统计学意义(P<0.05)。结论危重症患者中常可见到低胆固醇血症,并且在预测病情进展、判断预后方面具有重要意义,应引起临床医师的重视。
Objective To investigate the significance of hypocholesterolemia in critically ill patients. Methods The incidence of hypocholesterolemia was calculated in 1 030 critically ill patients with different primary diseases. APACHE Ⅱ scores and mortality were compared among patients with different cholesterol concentrations. Results The incidence of hypocholesterolemia in sepsis group, severe infection group and severe pancreatitis group was significantly higher than that in surgical group and hypocholesterolemia group. The mortality was significantly higher than that in normal cholesterol group Statistical significance (P <0.05). Conclusion Low cholesterol can be seen in critically ill patients, and it is of great significance in predicting the progression of the disease and judging the prognosis, which should be paid more attention by clinicians.