西宁地区临床危急值分布规律分析

Analysis on distribution regularity of clinical critical value in Xining area

目的通过分析临床危急值的分布情况,了解高原地区危急值的分布规律,为该院进一步完善危急值报告制度提供科学依据。方法对该科室2010年7月1日至2011年6月30日报告的危急值项目进行回顾性分析,研究其分布规律。结果该院危急值报告发生率为0.29%,西宁地区血钾、血糖及血气pH值的危急值发生率在性别间分布差异无统计学意义(P>0.05),但在不同年龄段差异有统计学意义(P<0.05)。另外,内科系统血钾、血糖危急值报告数明显高于外科系统(P<0.01)。结论定期回顾分析危急值报告有助于临床诊断和完善危急值报告制度。

Objective To understand the distribution regularity of the clinical critical value in the plateau region by analyzing the clinical critical value distribution situation in order to provide the scientific basis for further perfect the critical value report system. Methods The critical value items reported by our department from July 1,2010 to June 30,2011 were retrospectively analyzed for studying its distribution regularity.Results The incidence rate of critical values report in our hospital was 0.29%,the incidence rate of critical value such as blood potassium,glucose and blood gas pH had no difference in distribution between genders in Xining region（P 〉0.05）,but had significantly difference among different age groups（P 〈0.05）.In addition,the report number of the criti-cal value of the blood potassium,glucose and blood gas pH in the internal medicine was significantly higher than that in the surgical departments（P 〈0.01）.Conclusion The periodic retrospective analysis of critical value report helps to improve the clinical diagno-sis and the reporting system of critical value.