红细胞分布宽度在脓毒症中的价值

The value of red blood cell distribution width in sepsis

目的:探讨红细胞分布宽度在脓毒症中的价值,为判断脓毒症预后提供帮助。方法:采用回顾性研究方法收集我科2016年1~12月脓毒症患者,入组后记录24 h内RDW最大值,血常规中的PLT、WBC、PMN、N、PLT、红细胞体积,年龄、体温、D-二聚体、CRP、Lac、PCT等资料。结果:共80例患者入选,通过单因素分析发现死亡组患者RDW、APACHEⅡ评分、Lac、PCT、血培养及痰培养阳性明显高于存活组,两组比较差异有统计学意义(P<0.05)。Logistic回归分析显示RDW、APACHEⅡ评分、PCT、血培养及痰培养阳性是影响脓毒症患者预后的独立危险因素。结论:通过本研究我们发现在临床上可通过检测RDW有助于判断脓毒症的预后。

Objective： To investigate the value of red blood cell distribution width in sepsis,so as to provide some help for the diagnosis of sepsis. Methods： A retrospective study 2016 from January to December in patients with sepsis,were recorded after 24 hours maximum RDW,PLT,WBC,PMN,N,PLT,red blood cell volume in blood routine,age,temperature,D-dimer,CRP,Lac and PCT. Results： A total of 80 patients were enrolled. The single factor analysis showed that the scores of RDW,APACHE Ⅱ,Lac,PCT,blood culture and sputum culture in the death group were significantly higher than those in the survival group,and there was a significant difference between the two groups（P〈0. 05）. Logistic regression analysis showed that RDW,APACHE Ⅱ score,PCT,positive blood culture and positive sputum culture were independent risk factors for the prognosis of patients with sepsis. Conclusion： Through this study,we found that the clinical detection of RDW can help to predict the prognosis of sepsis.