| 戴本军,柴小青,翁云龙,等.红细胞分布宽度对社区获得性肺炎病情严重程度及预后的评估价值[J].中国临床保健杂志,2017,20(6):685-688. |
| 红细胞分布宽度对社区获得性肺炎病情严重程度及预后的评估价值 |
| Evaluation of red cell distribution width in assessing the severity and prognosis of community acquired pneumonia |
| 投稿时间：2017-07-11 |
| DOI：10.3969/J.issn.1672-6790.2017.06.017 |
| 中文关键词: 肺炎 社区获得性感染 红细胞指数 预后 |
| 英文关键词: Pneumonia Community-acquired infections Erythrocyte indices Prognosis 〖FL |
| 基金项目:安徽省自然科学基金项目(1408085MH187) |
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| 中文摘要: |
| 目的 通过分析社区获得性肺炎(CAP)患者的红细胞分布宽度(RDW)与其严重程度及其相关影响因素的相关性,探讨RDW对社区获得性肺炎患者病情评估的应用价值。方法 回顾性分析92例CAP患者临床资料,分析比较RDW与各临床特征、实验室检查指标高危因素及转归情况之间的相关关系,并应用线性回归分析相关危险因素。结果 RDW异常组中的重症患者比例、病死率等显著高于正常组；RDW异常率随着CURB-65评分的升高而增高；RDW值随着CURB-65评分的升高而升高,两者呈显著正相关(r=0.3049,P＝0.0031)。结论 CAP患者的RDW水平与其严重程度及预后密切相关,RDW对其预后有重要的参考价值。 |
| 英文摘要: |
| Objective To evaluate the relationship between elevated red blood cell distribution width (RDW) and the severity and clinical outcomes among patients with community acquired pneumonia (CAP).Methods A total of 92 patients′ data was collected and analyzed.The relationship between RDW and CAP in CURB-65 was analyzed.A linear regression analysis was used to determine the independent riskfactors in patients with CAP.Results Elevated RDW level on admission was associated with significant higher rates of mortality and severe morbidity in adult patients with CAP.CURB-65 was significantly correlated with RDW level (r=0.3049,P＝0.0031).Conclusion RDW can be used as a clinical evaluation index of the severity of CAP and is an independent predictor of the disease development of CAP patients. |
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