摘要
目的探讨急诊患者床边快速乳酸监测对护士判断患者病情危重程度及预后的临床价值。方法对84例急诊就诊患者的临床资料进行回顾性研究。根据动脉乳酸值分为3组,乳酸正常为A组、轻中度升高为B组、重度升高为C组,比较3组患者入院后24hAPACHⅡ评分、14d内患者气管插管率、ICU入住率、死亡率。结果乳酸值越高,气管插管率、入住ICU率、入院14d内死亡率逐步增加,APACHEⅡ评分增高;动脉乳酸值和APACHⅡ评分进行Pearson分析,r=0.63,P=0.00,两者有相关性,通过ROC曲线分析显示,动脉乳酸值和APACHⅡ评分均有统计学意义,床边动脉乳酸值预测死亡的效能较好(AUC=0.766)。结论急诊患者乳酸浓度与病情危重程度密切相关,为护士尽早采取干预措施提供依据。
Objective To study the clinical value of rapid bedside lactic acid measurement on nurses＇ judgment for emergency patients＇ severity and prognosis. Method Take retrospective study on clinical information of 84 emergency patients. Divide them into normal lactic acid level group （group A）, slightly higher group （group B） and severe higher group （group C）. Compare APACH Ⅱ score in 24h after admission, tracheal cannula rate in 14 d, ICU admission rate and mortality of patients between three groups. Result Tracheal cannula rate, ICU admission rate, mortality in t4 d after admission and APACH Ⅱ score increase with rise of lactic acid level. Pearson analysis shows there is correlation between arterial lactic acid level and APACH Ⅱ score, r=0.63, P=0. 00. ROC analysis shows that arterial lactic acid level and APACH Ⅱ score all have statistical significance. Bedside arterial lactic acid measurement has a nice efficiency on mortality prediction （AUC= 0. 766）. Conclusion Lactic acid level is closely related to severity of disease, which can provide evidence for nurses＇ intervention.
出处
《护理与康复》
2014年第10期919-921,共3页
Journal of Nursing and Rehabilitation
