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不同类型糖代谢紊乱与老年危重病人APACHEⅡ评分相关性分析
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【药学自我鉴定范文】作者:米涌,梁旭,吴伏娜,王增英【关键词】 糖代谢紊乱;,,老年危重病;,,APACHEⅡ评分摘要:目的:探讨不同类型的糖代谢紊乱与老年危重病人APACHEⅡ评分的相关性。 方法 :将147例内科危重病人分成3组(原有糖尿病组、应激性高血糖组和正常血糖组), 分析 比较三组病人在APACHEⅡ评分和病死率的区别。结果:糖尿病组、应激性高血糖组的APACHEⅡ评分和死亡率高于血糖正常组,以应激性高血糖组最为明显。结论:各种糖代谢紊乱均可加重老年危重病人的病情 发展 ,尤其要重视应激性高血糖的处理。 关键词: 糖代谢紊乱; 老年危重病; APACHEⅡ评分 The Relationship Between the Different Style of Glucose Metabolic Disorders and APACHEⅡ in Critically ill older Patients Abstract: Objective:To investigate the relationship between the different style of glucose metabolic disorders and APACHEⅡ in critically patients. Method: 147 cases of critical ill patients were divided into three groups :DM (diabetes mellitus) -group, SHG(stress-induced hyperglycemia)-group and non-DM group, the severe degrees in every group were evaluated by APACHEⅡ scores. Result: APACHEⅡ scores were markedly higher in DM-group and SHG-group than non-DM group(P<
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