检验医学与临床2016，Vol.13Issue(18)：2607-2609,2612,4.DOI:10.3969/j.issn.1672-9455.2016.18.020
重症肺炎患者血清磷水平与30d病死率的相关性研究
Study on correlation between serum phosphorus level and 30-day mortality rate in patients with severe pneumonia
李静 1尉俊生1
作者信息
- 1. 延安大学附属医院检验科，陕西延安 716000
- 折叠
摘要
Abstract
Objective To investigate the correlation between serum phosphorus level and 30‐day mortality rate in the patients with severe pneumonia(SP) .Methods Consecutive 80 SP patients in the respiration department our hospital from January 2014 to October 2015 were enrolled in this study and divided into the survival group(n= 50) and death group(n= 30) based on the 30‐day death events .The serum phosphorus level ,APACHE II score ,CPIS score ,CURB‐65 score ,SOFA score and PSI score were com‐pared between the two groups .Results The phosphorus level in the death group was significantly lower than that in the survival group[(0 .37 ± 0 .06) mmol/L vs .(0 .61 ± 0 .05) mmol/L ,P < 0 .05] .The ROC curve analysis showed that the AUC of serum phosphorus ,APACHE II score and CURB‐65 score for predicting 30‐day death events was 0 .732 ,0 .664 and 0 .682 respectively . The correlation analysis showed that serum phosphorus level was negatively correlated with 30‐day death events(r= - 0 .566 ,P<0 .05) ,CURB‐65 score(r= - 0 .392 ,P < 0 .05) and PSI score .(r = - 0 .235 ,P < 0 .05) .The Logistic regression analysis showed that serum phosphorus(< 0 .030 mmol/L ,OR = 1 .56) and CURB‐65 score(> 3 .9 ,OR = 1 .15) were the independent risk factors of major adverse cardiovascular event (MACE) occurrence .Conclusion The serum phosphorus level at admission is closely related with 30‐day mortality rate in SP patients .关键词
重症肺炎/血清磷/30d病死率Key words
severe pneumonia/serum phosphorus/30-day mortality引用本文复制引用
李静,尉俊生..重症肺炎患者血清磷水平与30d病死率的相关性研究[J].检验医学与临床,2016,13(18):2607-2609,2612,4.
