文章摘要

Glasgow评分在急性创伤患者低体温发生中的预测作用

作者: 1邓妍, 1黄珍玲, 1张莉莉, 2李淑芳, 1周建仪, 1曾奕云
1 佛山市中医院急诊科,广东 佛山 528000
2 佛山市中医院护理部,广东 佛山 528000
通讯: 邓妍 Email: Ddengyan@126.com
DOI: 10.3978/j.issn.2095-6959.2019.12.024
基金: 佛山市科技局资助项目(2014AB00319)。

摘要

目的:了解急性创伤患者低体温的发生情况,分析Glasgow评分(Glasgow Coma Scale,GCS)在低体温发生中的应用价值。方法:回顾性收集2014年3月至2018年12月在佛山市中医院治疗的急性创伤患者资料,应用SPSS 22.0软件对获取的数据进行统计分析。结果:共287例急性创伤患者,其中105例(36.6%)发生低体温;不同创伤程度患者的低体温发生率差异具有统计学意义(F=57.580,P<0.05);低体温患者的GCS评分和无低体温患者的GCS评分差异具有统计学意义(P<0.05);GCS评分与低体温的发生呈负相关,相关系数为−0.490(P<0.05);受试者工作特征曲线(receiver operating characteristics,ROC)分析显示,其曲线下面积为0.785(P<0.05),并且在截断值为7分时,敏感性系数为0.575,特异性系数为0.867,约登指数最大,为0.552。结论:GCS评分对急性创伤患者发生低体温具有中等以上的预测效能,临床医护人员可据此及早实施保暖措施,避免低体温造成的不良后果。
关键词: 创伤;低体温;Glasgow评分;预测

Predictive effect of Glasgow Coma Scale on hypothermia in patients with acute trauma

Authors: 1DENG Yan, 1HUANG Zhenling, 1ZHANG Lili, 2LI Shufang, 1ZHOU Jianyi, 1ZENG Yiyun
1 Department of Emergency, Traditional Chinese Medicine Hospital of Foshan, Foshan Guangdong 528000, China
2 Department of Nursing, Traditional Chinese Medicine Hospital of Foshan, Foshan Guangdong 528000, China

CorrespondingAuthor: DENG Yan Email: Ddengyan@126.com

DOI: 10.3978/j.issn.2095-6959.2019.12.024

Foundation: This work was supported by the Project from Foshan Science and Technology Bureau, Guangdong Province

Abstract

Objective: To investigate the occurrence of hypothermia in patients with acute trauma and to analyze the value of Glasgow Coma Scale (GCS) in the occurrence of hypothermia. Methods: The data of acute trauma patients treated in our hospital from March 2014 to December 2018 were retrospectively collected and analyzed by SPSS 22.0 software. Results: A total of 287 patients with acute trauma were included in this study, 105 of whom had hypothermia (36.6%), the incidence of hypothermia in patients with different traumatic degrees had statistical significance (F=57.580, P<0.05), the GCS scores of patients with hypothermia and those without hypothermia had statistical significance (P<0.05), the GCS scores of patients with hypothermia and the occurrence of hypothermia were negative (P<0.05). The correlation coefficient was −0.490 (P<0.05). The ROC analysis showed that the area under the curve was 0.785 (P<0.05), and when the truncation value was 7, the sensitivity coefficient was 0.575, the specificity coefficient was 0.867, and the Yoden index was 0.552. Conclusion: GCS score can predict hypothermia in patients with acute trauma more than moderately. Clinicians and nurses can implement warming measures as soon as possible to avoid the adverse consequences of hypothermia.
Keywords: trauma; hypothermia; Glasgow Coma Scale; prediction