接触型电烧伤患者入院早期心肌酶谱与常见临床因素的相关性

摘要
图/表
参考文献
相关文章 (15)

全文: PDF (500 KB)
输出: BibTeX | EndNote (RIS)

摘要目的分析接触型电烧伤患者入院早期心肌酶谱与常见临床因素的相关性。方法选取武警特色医学中心2008－2018年收治的接触型电烧伤患者107例,将患者入院早期CK、CK-MB、LDH检测数值与患者致伤电压、年龄、入院时间、烧伤指数、烧伤部位数量进行二元变量相关分析。结果患者CK与致伤电压、烧伤指数、烧伤部位数量呈正相关(r=0.400、0.614、0.465,P值均小于0.05),与年龄、入院时间无明显相关关系(r=－0.042、－0.146,P值均大于0.05);患者CK-MB与致伤电压、烧伤指数、烧伤部位数量呈正相关(r=0.348、0.578、0.510,P值均小于0.05),与年龄、入院时间无明显相关关系(r=－0.110、－0.071,P值均大于0.05);患者LDH与致伤电压、烧伤指数、烧伤部位数量呈正相关(r=0.395、0.575、0.471,P值均小于0.05),与年龄、入院时间无明显相关关系(r=－0.193、－0.255,P值均大于0.05)。结论烧伤指数是影响接触型电烧伤患者入院早期CK、CK-MB、LDH更明显的因素,烧伤部位数量是影响接触型电烧伤患者入院早期CK-MB更明显的因素。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	雷少军
	张晶晶
	闫利

关键词 ：电烧伤, 心肌酶, 影响因素, 相关分析

Abstract：Objective To analyze the correlations between myocardial enzymes and common clinical factors in patients with contact electric burn soon after admission.Methods One hundred and seven cases of contact electric burn patients admitted to Armed Police Medical Center between 2008 and 2018 were selected. The detection values of CK, CK-MB and LDH in the early days of admission were correlated with the injury voltage, age, admission time, burn indexes and the number of burn sites.Results CK was positively correlated with injury voltage, burn indexes and numbers of burn sites (r=0.400, 0.614, 0.465, P value was less than 0.05), but not with age and admission time (r=-0.042,-0.146, P value was greater than 0.05), so were CK-MB (r=0.348, 0.578, 0.510, P value was less than 0.05) and LDH (r=0.395, 0.575, 0.471, P value was less than 0.05).Conclusions The burn index is a more significant factor affecting the early detection of CK, CK-MB and LDH in patients with contact electrical burn. The number of burn sites is a more significant factor affecting the early detection of CK-MB in patients with contact electrical burn.

Key words： electrical burn myocardial enzymes influencing factors correlation analysis

收稿日期: 2019-03-11

ZTFLH:

R622.1

基金资助:天津市卫生局科技基金(2014KZ136)

通讯作者: 闫利,E-mail:943740247@qq.com

作者简介: 雷少军,硕士,医师。

引用本文:

雷少军, 张晶晶, 闫利. 接触型电烧伤患者入院早期心肌酶谱与常见临床因素的相关性[J]. 武警医学, 2019, 30(9): 749-751. LEI Shaojun, ZHANG Jingjing, YAN Li. Relationships between myocardial enzymes and common clinical factors in patients with contact electric burn soon after admission. Med. J. Chin. Peop. Armed Poli. Forc., 2019, 30(9): 749-751.

链接本文:

http://journal08.magtechjournal.com/Jwk_wjyx/CN/ 或 http://journal08.magtechjournal.com/Jwk_wjyx/CN/Y2019/V30/I9/749

[1]	Margarita S, Elloso, Jose J V, et al. A review of electrical burns admitted in a Philippine Tertiary Hospital Burn Center [J]. Burns Open, 2017, 1(1): 20-24.
[2]	王兵, 朱帅, 李记涛. 早期皮瓣修复治疗四肢电烧伤后肌腱及神经功能恢复的临床疗效分析[J]. 现代医药卫生, 2017, 33(15): 2319-2321.
[3]	徐德生, 姜明, 范艳莉. 电烧伤患者血清NT-ProBNP、CK-MB、TnT水平及其临床意义[J]. 航空航天医学杂志, 2018, 29(6): 683-685.
[4]	卢均坤, 初而复, 李欣,等. SD大鼠电击损伤后心肌损伤与氧化应激关系的研究[J]. 临床心血管病杂志, 2016, 32(5): 513-516.
[5]	段丽. 心肌酶谱在不同程度烧伤患者中的检验价值[J]. 中外医学研究, 2018, 16(2):64-65.
[6]	Jo M S, Lee J, Kim S Y, et al. Comparison between creatine kinase MB, heart-type fatty acid-binding protein, and cardiac troponin T for detecting myocardial ischemic injury after cardiac surgery[J]. Clin Chim Acta, 2019 , 488:174-178.
[7]	雷蕾, 张娜. 急性心肌梗死病人c MyBP-C、cTnl、CK-MB与Myo水平及其相关性分析[J]. 中西医结合心脑血管病杂志, 2019, 17(3): 426-428.
[8]	Clark A T, Wolf S. Electrical injury [J]. JAMA, 2017, 318(12):1198.
[9]	Shih J G, Shahrokhi S, Jeschke M G. Review of adult electrical burn injury outcomes worldwide: an analysis of low-voltage vs high-voltage electrical injury [J]. J Burn Care Res, 2017, 38(1): e293-e298.