山东医药Issue(27)：18-20,3.DOI:10.3969/j.issn.1002-266X.2014.27.006
创伤后多器官功能障碍综合征预后影响因素分析
Factors influencing prognosis of multiple organ dysfunction syndrome after trauma
摘要
Abstract
Objective To analyze the factors influencing the prognosis of multiple organ dysfunction syndrome (MODS) after trauma.Methods Sixty-six patients who appeared MODS after trauma were divided into two groups: the survival group (47 cases) and death group (19 cases).At first, we studied the various clinical indicators with univariate regression analysis between the two groups .Then, the clinical indicators with statistical significant differences were led to the multivariate logistic regression analysis .Results Univariate analysis revealed that the factors impacting the prognosis were age (t=5.490, P=0.019), temperature (t =3.781, P=0.049), blood urea nitrogen level (t=7.537, P=0.006), serum albumin level (t=6.089, P=0.014), central venous pressure (t=6.033, P=0.014), Glasgow (μ=1309.500, P=0.000), and whether there was lethal triad of death (χ2 =18.510, P=0.001),whether the MODS organs were 3 or higher (χ2 =5.533, P=0.019),whether they were complicated with pulmonary infection (χ2 =5.676,P=0.017).Logistic regression analysis showed that the serum albumin level (β1 =-0.766, P=0.023), central venous pressure (β2 =-4.179, P=0.016), age (β3 =0.977, P=0.043)and blood urea nitrogen (β4 =4.474, P=0.027) were the independent factors .Conclusion The factors influencing of the prognosis of MODS are serum albumin level , central venous pressure , age and blood urea nitrogen level .关键词
多器官功能障碍综合征/创伤/病死率Key words
multiple organ dysfunction syndrome/trauma/mortality分类
医药卫生引用本文复制引用
邵志江,沈建伟,贾惠娟..创伤后多器官功能障碍综合征预后影响因素分析[J].山东医药,2014,(27):18-20,3.基金项目
天津市卫生局科技基金资助项目（2012KZ016）。 （）
