Abstract：Objective: To investigate the correlation between metabolic syndrome and early poor prognosis in severe trauma patients. Methods: The medical records of 107 severe trauma patients admitted to Huangshan People's Hospital from January 2020 to August 2022 were retrospectively analyzed,and the patients were divided into observation group (n=30,combined metabolic syndrome) and control group (n=77,no metabolic syndrome) according to their metabolic syndrome prevalence status,and relevant clinical data were collected from both groups.All patients received conventional treatment for severe trauma.The general conditions of the two groups were compared,the occurrence of complications in the two groups was compared,1-month survival was counted and the effect of MS on patient survival was analysed. Results: The duration of ICU stay and ventilator time were significantly longer in the observation group than in the control group (P<0.05),and the incidence of acute kidney injury,MODS,ARDS,cardiac arrest,decubitus ulcer and surgical site infection was significantly higher in the observation group than in the control group (P<0.05).When comparing the incidence of other complications in the two groups,the difference was not statistically significant (P>0.05).multi-factor logistic regression analysis showed that diabetes mellitus was the only MS component contributing to death in severe trauma patients. Conclusion: Metabolic syndrome is closely related to the poor early prognosis of severe trauma patients,among which the diabetes component is closely related to the early survival rate of patients,and clinical attention should be paid to patients with combined metabolic syndrome to improve their early prognosis.
汪洋, 方剑波, 朱冠能, 黄淑晴, 吴文辉. 代谢综合征与严重创伤患者早期不良预后的相关性分析[J]. 河北医学, 2023, 29(7): 1178-1182.
WANG Yang, FANG Jianbo, ZHU Guanneng, et al. Correlation Analysis between Metabolic Syndrome and Early Poor Prognosis in Patients with Severe Trauma. HeBei Med, 2023, 29(7): 1178-1182.
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2023, Vol. 29 
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