创伤性骨折患者血糖、hs-CRP、Hcy水平和创伤程度的关系探讨
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南阳南石医院

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Study on the relationship between blood glucose, hs-CRP, Hcy level and trauma degree in patients with traumatic fracture
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Nanshi Hospital of Nanyang

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    摘要:

    目的:创伤性骨折患者血糖、超敏C-反应蛋白(hs-CRP)、同型半胱氨酸(Hcy)水平和创伤程度的关系。方法:选择2019年1月~2019年10月我院收治的72例创伤性骨折患者,;依据创严重程度(ISS)评分将患者分为36例轻度创伤组、28例重度创伤组和9例严重创伤组,另选同期在我院健康体检者68例作为对照组。比较各组血糖、hs-CRP、Hcy水平,并分析创伤性骨折患者以上指标和ISS评分的关系。结果:创伤性骨折组各时间点的血糖、hs-CRP和Hcy水平均高于对照组(P<0.05);创伤性骨折组术后第1d血糖、hs-CRP和Hcy水平较术前上升,第3d、7d血糖、hs-CRP和Hcy水平均下降,差异有统计学意义(P<0.05)。严重创伤组各个时间点的血糖、hs-CRP和Hcy水平依次高于重度创伤组和轻度创伤组(P<0.05);且各组术后第1d血糖、hs-CRP和Hcy水平较术前上升,第3d和7d血糖、hs-CRP和Hcy水平均呈下降趋势(P<0.05)。创伤性骨折患者血糖、hs-CRP和Hcy水平和ISS评分呈正相关。结论:创伤性骨折患者血糖、hs-CRP和Hcy动态改变和机体创伤程度有关,对骨创伤的病情判断有重要作用。

    Abstract:

    Objective: To study the relationship between blood sugar, hypersensitive c-reactive protein (hs-CRP), homocysteine (Hcy) level and degree of trauma in patients with traumatic fracture. Methods: 72 patients with traumatic fracture admitted to our hospital from January 2019 to October 2019 were selected. The patients were divided into 36 mild trauma groups, 28 severe trauma groups and 9 severe trauma groups according to the trauma severity (ISS) score, and 68 healthy physical examination patients in our hospital during the same period were selected as the control group. The levels of blood sugar, hs-CRP and Hcy in each group were compared, and the relationship between the above indexes and ISS score in patients with traumatic fracture was analyzed. Results: The blood sugar, hs-CRP and Hcy levels in traumatic fracture group were higher than those in control group at all time points (P<0.05). The levels of blood sugar, hs-CRP and Hcy on the 1st day after operation in the traumatic fracture group were higher than those before operation, and the levels of blood sugar, hs-CRP and Hcy on the 3rd and 7th days after operation were decreased, the difference was statistically significant (P<0.05). The levels of blood sugar, hs-CRP and Hcy in severe trauma group were higher than those in severe trauma group and mild trauma group (P<0.05). The levels of blood sugar, hs-CRP and Hcy on the 1st day after operation in each group were higher than those before operation, and the levels of blood sugar, hs-CRP and Hcy on the 3rd and 7th days showed a downward trend (P<0.05). Blood sugar, hs-CRP and Hcy levels in patients with traumatic fracture were positively correlated with ISS score. Conclusion: The dynamic changes of blood sugar, hs-CRP and Hcy in patients with traumatic fracture are related to the degree of body trauma and play an important role in judging the condition of bone trauma.

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  • 收稿日期:2019-12-23
  • 最后修改日期:2019-12-23
  • 录用日期:2020-01-07
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