休克指数与血浆乳酸浓度的相关性对急诊危重病人筛检的价值

Shock index and plasma lactate concentrations in critically ill patients in emergency correlation value of screening

目的探讨休克指数与血浆乳酸浓度的相关性对急诊危重病人筛检的价值。方法随机抽取2012年1月1日-2012年4月30日收入抢救室并在就诊后2小时内做过血浆乳酸浓度检测的50例患者，将其心率、收缩压、平均动脉压、休克指数分别与血浆乳酸浓度进行相关性比较。结果用SPSS16．0统计软件进行简单相关分析，心率、收缩压、平均动脉压及休克指数与血浆乳酸浓度相比，休克指数的相关性最好（r=0．620），为强相关，并具有统计学意义（P＜0．05）。结论在急诊预检分诊处，休克指数比单纯的心率或血压更能反映急诊危重病人病情的危重程度，有利于检出潜在重症患者，具有临床推广应用价值。

Objective To discuss the shock index and plasma lactate concentration correlation value for emergency screening of critically. Methods 50 patients conducted emergency room revenue plasma lactate concentrations detected within two hours after treatment were included. The heart rate, systolic blood pressure, mean arterial pressure and shock index plasma lactate concentrations were detected and analyzed. Results The heart rate, systolic blood pressure, mean arterial pressure and shock index compared with plasma lactate concentrations correlated best shock index（r= 0. 620）（P 〈0.05）. Conclusion The shock index more exactly reflects the degree of critical condition than blood pressure.