代谢综合征与严重创伤患者早期不良预后的相关性分析

doi:10.3969/j.issn.1006-6233.2023.07.023

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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.

Key words： Metabolic syndrome Severe trauma Prognosis Complications

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2023.07.023 OR http://www.hbyxzzs.cn/EN/Y2023/V29/I7/1178

[1] Kumar S R,Ramli E,Nasir N,et al.Methanolic extract of piper sarmentosum attenuates obesity and hyperlipidemia in fructose-induced metabolic syndrome rats[J].Molecules,2021,26(13):3985.
[2] 帅平,沙莎,刘玉萍,等.不同诊断标准下健康体检者代谢综合征的流行特征及危险因素分析[J].成都医学院学报,2015,10(6):668-673.
[3] Hamooya B M,Mulenga L B,Masenga S K,et al.Metabolic syndrome in Zambian adults with human immunodeficiency virus on antiretroviral therapy:Prevalence and associated factors[J].Medicine,2021,100(14):25236.
[4] Kaze A D,Musani S K,Correa A,et al.Insulin resistance,metabolic syndrome,and blood pressure progression among Blacks:the Jackson Heart Study[J].Journal of Hypertension,2021,39(11):2200-2209.
[5] 俞匀,唐伟,娄青林.老年2型糖尿病病人血清尿酸/肌酐比值与代谢综合征的相关性研究[J].实用老年医学,2020,34(4):364-367.
[6] 上海医科大学《实用内科学》委员会.实用内科学[M].第九版.人民卫生出版社,1993.
[7] Kim M,Kim I.Ovariectomy,but not orchiectomy,exacerbates metabolic syndrome after maternal high-fructose intake in adult offspring[J].Korean Journal of Physiology and Pharmacology,2021,25(1):39-49.
[8] 朱京炜.急诊感染患者凝血障碍与脓毒症严重程度的关系[J].中国医药导刊,2020,22(4):243-246.
[9] 王永超,刘新宇.单核细胞/高密度脂蛋白胆固醇比值与2型糖尿病肾脏疾病的相关性分析[J].中国现代医学杂志,2020,30(23):77-83.
[10] 刘士会,吕良峰,胡成文.严重腹部创伤后短期死亡原因调查及危险因素的回顾性分析[J].河北医学,2020,26(2):307-311.
[11] Qiang L,Lingli Z,Chu-Chung H,et al.Association between childhood trauma and risk for obesity:a putative neurocognitive developmental pathway[J].BMC medicine,2021,18(1):278.
[12] 青丽,彭璐婷,刘倩琦.肥胖儿童青少年胰岛素抵抗的临床特征及其与代谢并发症的关系[J].中华实用儿科临床杂志,2020,35(11):847-851.
[13] 刘妍,常丽萍,高怀林.胰岛素抵抗的发病机制研究进展[J].世界中医药,2021,16(11):1671-1674.