神经危重症患者高钠血症相关危险因素及预后分析

发布时间：2018-03-30 15:57

本文选题：神经危重症　切入点：高钠血症　出处：《中风与神经疾病杂志》2017年09期

【摘要】：目的分析神经内科重症监护病房(NICU)高钠血症的发生率、临床特点、危险因素及预后情况。方法选取2011年9月~2012年6月首次入住我院NICU的200例神经危重症患者,记录患者的一般资料(年龄、性别)、主要诊断、卒中史(脑梗死、脑出血)、高血压、糖尿病、高钠血症形成的相关危险因素及患者的预后等情况,根据患者血钠水平给予分组。结果高钠血症组病死率明显高于非高钠血症组,随着血钠浓度的升高,患者的死亡率逐渐升高;甘露醇的大量使用、机械通气、肾功能不全分别高钠血症形成的独立危险因素。结论高钠血症形成的相关危险因素为大量甘露醇的使用、机械通气和肾功能不全;高钠血症是影响神经危重症患者预后的独立危险因素。
[Abstract]:Objective to analyze the incidence, clinical features, risk factors and prognosis of hypernatremia in neurology intensive care unit (NICU).Methods from September 2011 to June 2012, 200 patients with neurocritical diseases admitted to our hospital for the first time from September 2011 to June 2012 were selected and their general data (age, sex, main diagnosis, stroke history, cerebral infarction, cerebral hemorrhage, hypertension, diabetes mellitus) were recorded.The risk factors and prognosis of patients with hypernatremia were classified according to their blood sodium levels.Results the mortality in hypernatremia group was significantly higher than that in non-hypernatremia group.Conclusion the risk factors related to the formation of hypernatremia are the use of mannitol, mechanical ventilation and renal insufficiency, and hypernatremia is an independent risk factor for the prognosis of neurocritical patients.
【作者单位】：吉林大学白求恩第一医院神经内科和神经科学中心;徐州市中心医院神经内科;宁波市第二医院神经内科;日照市人民医院;
【分类号】：R741

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