非甲状腺疾病综合征与急性呼吸窘迫综合征患者预后的相关性

发布时间：2019-05-06 23:11

【摘要】：目的观察重症监护室(ICU)中急性呼吸窘迫综合征患者非甲状腺疾病综合征的发病情况,探讨其与患者病情及预后的相关性。方法选取43例入住ICU的急性呼吸窘迫综合征患者,检测入住ICU时的甲状腺素水平,分别统计并比较非甲状腺疾病综合征患者和正常甲状腺功能者的机械通气时间、ICU住院时间、28 d死亡率,分析相关影响因素。结果 43例急性呼吸窘迫综合征患者中28例(65.11%)伴非甲状腺疾病综合征,与正常甲状腺功能者比较,非甲状腺疾病综合征患者机械通气时间、ICU住院时间明显延长(P0.05),28 d死亡率显著升高(P0.01),非甲状腺疾病综合征与28 d死亡率明显相关。结论急性呼吸窘迫综合征伴非甲状腺疾病综合征的诊断,对预测患者病情严重程度和预后有重要价值。
[Abstract]:Objective to observe the incidence of non-thyroid disease syndrome (NDS) in patients with acute respiratory distress syndrome (ARDS) in intensive care unit (ICU) and to explore its correlation with the patient's condition and prognosis. Methods Forty-three patients with acute respiratory distress syndrome (ICU) were enrolled in this study. Thyroxine levels were measured at the time of admission to ICU. The duration of mechanical ventilation and the length of stay of ICU in patients with non-thyroid disease syndrome and normal thyroid function were calculated and compared. 28-day mortality rate was analyzed and the related influencing factors were analyzed. Results of the 43 patients with acute respiratory distress syndrome, 28 (65.11%) were complicated with non-thyroid disease syndrome. Compared with those with normal thyroid function, the duration of mechanical ventilation in the patients with non-thyroid disease syndrome was significantly higher than that in the patients with normal thyroid function. The hospitalization time of ICU was significantly prolonged (P0.05), the mortality was significantly increased on the 28th day (P0.01), and the non-thyroid disease syndrome was significantly correlated with the 28-day mortality. Conclusion the diagnosis of acute respiratory distress syndrome with non-thyroid disease syndrome is of great value in predicting the severity and prognosis of patients with acute respiratory distress syndrome.
【作者单位】：广东省汕头市中心医院重症医学科;
【分类号】：R563.8

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