中国感染控制杂志2017，Vol.16Issue(5)：417-422,6.DOI:10.3969/j.issn.1671-9638.2017.05.006
乳酸/清蛋白比值与脓毒症患者MODS的发生率及病死率的相关性
Correlation between lactate/albumin ratio level and incidence of multiple organ dysfunction syndrome as well as mortality in patients with sepsis
摘要
Abstract
Objective To study the correlation between lactate/albumin ratio level and incidence of multiple organ dysfunction syndrome (MODS) as well as mortality in patients with severe sepsis or septic shock.Methods In January 2012-September 2013, 54 patients who were admitted to the intensive care unit(ICU) of a hospital developed severe sepsis and septic shock on the first day of admission, clinical data of patients were analyzed.Results On the first and second days of admission, 30(55.56%)and 26(53.06%)patients developed MODS;lactate/albumin ratio between MODS group and non-MODS group on the first and second days of admission were both significantly different (both P<0.05).Multivariate logistic regression analysis showed that lactate/albumin ratio, oxygenation index (PaO2/FiO2), as well as acute physiology and chronic health evaluation (APACHE Ⅱ) were independent risk factors for predicting MODS in patients with severe sepsis.Lactate/albumin ratios between MODS group and non-MODS group, death group and non-death group were both significantly different (both P<0.05);lactate/albumin ratio was correlated with APACHE Ⅱand PaO2/FiO2, the higher the APACHE Ⅱ score and the lower the PaO2/FiO2, the higher of lactate/albumin ratio.The area under the receiver operating curve (ROC curve) analysis showed that incidence and mortality of MODS on the first day of admission predicted by lactate /albumin ratio were 0.85 and 0.84 respectively;sensitivity, specificity, positive predictive value, and negative predictive value of occurrence of MODS predicted by lactate /albumin ratio>1.735 were 80.00%, 79.17%, 82.67%, and 75.92% respectively, sensitivity, specificity, positive predictive value, and negative predictive value of mortality were 100.00%, 51.02%, 17.23%, and 100.00% respectively.Conclusion Lactate/albumin ratio level is closely correlated with incidence and mortality of MODS in patients with severe sepsis or septic shock.关键词
乳酸/清蛋白比值/严重脓毒症/多器官功能障碍综合征/复苏/炎症Key words
lactate/albumin ratio/severe sepsis/septic shock/multiple organ dysfunction syndrome/resuscitation/inflammation分类
医药卫生引用本文复制引用
王标,王泽宇,徐蓉,玉章锋,彭誉,苏维雪,陈刚,李殿发..乳酸/清蛋白比值与脓毒症患者MODS的发生率及病死率的相关性[J].中国感染控制杂志,2017,16(5):417-422,6.基金项目
江苏省苏州市科教兴卫工程(KJXW2013028) （KJXW2013028）
