120例创伤患者血糖及预后评估

Blood-glucose instance for prognostic evaluate of 120 patients after traumatism

目的研究创伤患者血糖情况与创伤严重程度以及预后的关系。方法选择120例创伤患者,于伤后来诊时即刻取样检测血糖水平,并给创伤严重度评分(ISS评分),根据血糖情况分为正常组(3.6～6.1mmol/L)、中间组(6.2～11.1mmol/L)、高血糖组(11.2～18mmol/L)、超高血糖组(>18mmol/L),统计组内严重创伤患者(ISS评分≥20)以及死亡情况。结果高血糖组和超高血糖组的创伤患者较正常组与中间组ISS评分及死亡率均明显增高,有显著统计学意义(P均<0.01)。结论严重创伤患者创伤后体内血糖水平明显增高,血糖的高低与创伤程度呈正相关关系,与预后呈负相关关系。

Objective To study the relationship between blood-glucose instance after severe muhi-traumatism and prognosis.Methods 120 cases traumatism were tested the level of blood-glucose after injury, and measured the injury severity score,based on the blood- glucose instance, all cases were divided into four groups,normal group（3.6-6.1mmol/L）,middle group（6.2-11.1 retool/L）, high group （11.2-18 mmol/L）, and over high group（〉18 mmol/L）,statisticed the severe traumatism（ISS ≥20）and death in each group. Results The injury severity score and death of high group and over high group were distinctly higher than those of the normal group and middle group,which had significance（P〈0.01）. Conclusion The level of the blood-glucose of severe traumatism is markedly heighten after injury, and the extent is positive correlation, when the prognosis is negative correlation.