体外循环围手术期血糖与术后临床预后的关系

Relationship between blood lactic and glucose level with prognosis in adult after cardiac surgery

目的分析体外循环围手术期血糖的变化与临床预后的关系,探究体外循环术预后的预测指标。方法选取我院2008年2月至2013年2月成人体外循环手术患者300例,分为死亡组(15例)和存活组(285例),比较两组静脉血糖转流时间、住ICU时间及pH值,并进行Logistic回归分析。结果 (1)死亡组的静脉血糖及峰值、器官衰竭数转流时间、住ICU时间明显高于存活组,pH值则明显低于后者(P<0.05);(2)Logistic多因素回归分析结果仅术中血糖峰值及术后2h血糖峰值是器官衰竭的独立危险因素。结论术中血糖与体外循环术患者的临床预后密切相关。

Objective To evaluate the relationship between blood glucose level with prognosis in adult after cardiac surgery .Methods Total of 300 patients were selected and divided into death group （n=15） and survival group（n=285） during the Feb ,in 2008 to Feb ,in 2013 .Comparison of blood glucose level ,number of failed organs ,and PH index between groups and logistic analysis were per‐formed on SPSS .Results There was a significant increase in blood glucose level ,number of failed or‐gans with decreased PH index .Blood glucose level showed negative correlation to clinic prognosis . Conclusion Blood glucose level tightly correlate to clinic prognosis ,which could be prospective effective predictive indexes .