血小板计数检测在骨折伴多发伤患者预后中的价值

Value of Platelet Count in Prognosis of Patients with Fracture and Multiple Trauma

目的探究血小板计数检测在骨折伴多发伤患者预后中的应用价值。方法选择我院2017年1月至2018年10月收治的60例骨折伴多发伤患者为研究对象,对所有患者进行血小板计数检测,根据检测结果将患者分为43例PLT降低组(降低组)与17例PLT正常组(正常组),对比两组患者预后情况。结果正常组血小板计数明显高于降低组,差异存在统计学意义(P<0.05);正常组ISS评分明显低于降低组,两组差异存在统计学意义(P<0.05),正常组ISS分级与降低组比较,差异存在统计学意义(P<0.05)。正常组全身炎性反应、多器官功能障碍、死亡率均低于降低组,差异存在统计学意义(P<0.05);正常组感染率虽然低于对照组,但数据比较差异无统计学意义(P>0.05)。结论骨折伴多发伤患者血小板计数越低,患者全身炎性反应、多器官功能障碍、死亡率越高,血小板计数下降可作为骨折伴多发伤患者不良预后的观察指标。

Objective To explore the value of platelet count in the prognosis of patients with fracture and multiple trauma.Methods 60 patients with fracture and multiple injuries admitted to our hospital from 2017 to 2018 were selected as the research objects.Platelet count(PLT)was performed on all patients.According to the results,43 patients were divided into the PLT reduction group and 17 patients with normal PLT group.The prognosis of the two groups was compared.Results The platelet count in the normal group was significantly higher than that in the lowered group,with statistical significance(P<0.05);ISS score in the normal group was significantly lower than that in the lowered group,with statistical significance(P<0.05).ISS classification in the normal group was significantly different from that in the lowered group(P<0.05).The systemic inflammatory response,multiple organ dysfunction and mortality in the normal group were lower than those in the reduced group,and the difference was statistically significant(P<0.05);although the infection rate in the normal group was lower than that in the control group,the difference was not statistically significant(P>0.05).Conclusion The lower the platelet count is,the higher the systemic inflammatory response,multiple organ dysfunction and mortality are.The lower the platelet count is,the better the prognosis of patients with multiple trauma is.