老年高血糖高渗压综合征的危险因素及干预对策

发布时间：2018-05-16 14:57

  本文选题：高血糖高渗压综合征 + 血钾　； 参考：《中国老年学杂志》2017年23期

【摘要】：目的探讨老年高血糖高渗压综合征(HHS)的危险因素及干预对策。方法老年HHS患者62例,根据病情轻重分为高危组(n=28)和非高危组(n=34),使用急慢性生理健康评估Ⅱ评分表(APACHEⅡ)评估患者病情轻重,并用Logistic回归分析确定老年HHS的相关危险因素。结果高危组平均APACHEⅡ分值明显高于非高危组(P0.01),且高危组血糖和血浆渗透压值明显高于非高危组(P0.01)。而两组血糖和血浆渗透压均与APACHEⅡ评分呈正相关(r=0.542,0.412;P0.01)。多因素Logistic分析表明,血糖指数、血浆渗透压及昏迷状态与HHS有关联。结论老年HHS患者的病情越重,血糖和血浆渗透压过高,是老年HHS病情危重的独立因素或联合因素,治疗时应重视这两个指标并对症下药。
[Abstract]:Objective to explore the risk factors and intervention measures of hyperglycemia hyperosmotic syndrome (HHS) in the elderly. Methods Sixty-two elderly patients with HHS were divided into two groups according to the severity of the disease. They were divided into high risk group and non-high risk group. Acute and chronic physiological health assessment 鈪，

本文编号：1897321