| 贺泽虎,郭晖.老年多发肋骨骨折病人并发急性呼吸窘迫综合征的影响因素分析[J].安徽医药,2026,30(3):590-593. |
| 老年多发肋骨骨折病人并发急性呼吸窘迫综合征的影响因素分析 |
| Analysis of factors influencing acute respiratory distress syndrome in elderly patients with multiple rib fractures |
| |
| DOI：10.3969/j.issn.1009-6469.2026.03.032 |
| 中文关键词: 肋骨骨折 急性呼吸窘迫综合征 胸部创伤 凝血酶原 血清白蛋白 老年人 |
| 英文关键词: Rib fractures Acute respiratory distress syndrome Thoracic trauma Prothrombin Serum albumin Aged |
| 基金项目: |
|
| 摘要点击次数: 256 |
| 全文下载次数: 160 |
| 中文摘要: |
| 目的探究老年多发肋骨骨折病人并发急性呼吸窘迫综合征( ARDS)的影响因素。方法回顾性选取贵州医科大学附属医院及贵州医科大学附属金阳医院 2020年 4月至 2023年 4月收治的 236例老年多发肋骨骨折病人，依据是否发生 ARDS将病人分为 ARDS组( 30例)、非 ARDS组( 206例)。收集病人性别、年龄、受伤机制、住院时间、高血压史、糖尿病史、吸烟史、血红蛋白计数、血清白蛋白、凝血酶原时间、是否行肋骨骨折内固定术( SSRF)等数据进行统计学分析，将单因素分析结果中 P<0.05的因素作为自变量，是否发生 ARDS作为因变量进行非条件二元 logistic回归分析。结果单因素分析结果显示，两组在性别、年龄、损伤机制、吸烟史、高血压史、糖尿病史、 SSRF比较差异无统计学意义( P>0.05)；非 ARDS组与 ARDS组血红蛋白计数 <90 g/L［4.4%(9/206)比 26.7%(8/30)］、血小板计数异常( >300个/升或 <100个/升)［7.8%(16/206)比 30.0%(9/30)］、凝血酶原时间 > 14.5 s［11.2%(23/206)比 46.7%(14/30)］、血清白蛋白 <35 g/L［40.8%(84/206)比 76.7%(23/30)］比较差异有统计学意义( P<0.05)；回归分析结果显示:凝血酶原时间延长［P<0.001，OR=5.97，95%CI:(2.38，15.03)］、血清白蛋白水平下降［P=0.012，OR=3.50，95%CI:(1.32，9.32)］是发生 ARDS的影响因素。结论凝血酶原时间延长、血清白蛋白水平下降的老年多发肋骨骨折病人应警惕 ARDS的发生，临床工作中做到积极预防、早期识别、及时纠正。 |
| 英文摘要: |
| Objective To investigate the influencing factors of acute respiratory distress syndrome (ARDS) in elderly patients with multiple rib fractures.Methods A A retrospective analysis was conducted on 236 elderly patients with multiple rib fractures admittedto the Affiliated Hospital and Jinyang Hospital of Guizhou Medical University between April 2020 to April 2023. Patients were catego.rized into an ARDS group (n=30) and a non-ARDS group (n=206) based on the occurrence of ARDS. Data on gender, age, injury mecha.nism, length of hospital stay, history of hypertension, history of diabetes, smoking history, hemoglobin count, serum albumin level, pro.thrombin time, and whether surgical stabilization of rib fractures (SSRF) was performed were collected. Factors with P<0.05 in univari. ate analysis were included as independent variables in an unconditional binary logistic regression model, with ARDS occurrence as thedependent variable.Results Univariate analysis showed no statistically significant differences between the two groups in terms of gen.der, age, injury mechanism, smoking history, history of hypertension, history of diabetes, or SSRF (P>0.05). Significant differences were observed between the non-ARDS group and the ARDS group in hemoglobin count <90 g/L [4.4% (9/206) vs. 26.7% (8/30)], abnormal platelet count (>300 per liter or <100 per liter) [7.8% (16/206) vs. 30.0% (9/30)], prothrombin time >14.5 s [11.2% (23/206) vs. 46.7% (14/30)], and serum albumin <35 g/L [40.8% (84/206) vs. 76.7% (23/30)] (P<0.05). Regression analysis identified prolonged prothrom. bin time [P<0.001, OR=5.97, 95%CI: (2.38, 15.03)] and decreased serum albumin level [P=0.012, OR=3.50, 95%CI: (1.32, 9.32)] as significant influencing factors for ARDS development.Conclusions Elderly patients with multiple rib fractures presenting with pro. longed prothrombin time or decreased serum albumin levels warrant vigilance for ARDS. Clinical management should emphasize proac.tive prevention, early recognition, and timely intervention. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
