格拉斯哥昏迷量表、肌力等级及尿量预测意识障碍患者进展为合并低钠血症的价值

袁媛; 潘海龙; 李倩倩

doi:10.7619/jcmp.201921027

格拉斯哥昏迷量表、肌力等级及尿量预测意识障碍患者进展为合并低钠血症的价值

Values of Glasgow Coma Scale, muscle strength level and urine volume in predicting progression of complicated hyponatremia in patients with consciousness disorder

摘要

摘要:
目的探讨格拉斯哥昏迷量表(GCS)、肌力等级、尿量预测意识障碍患者进展为合并低钠血症的价值。
方法选取神经外科意识障碍并进展为合并低钠血症的患者80例，比较患者疾病进展前后GCS评分、肌力等级、尿量及生命体征的变化。
结果单纯意识障碍进展为合并低钠血症后，患者的GCS评分、肌力评级、尿量均显著降低(P < 0.05)。疾病进展前后比较，患者心率、血压差异无统计学意义(P > 0.05)。
结论意识障碍患者进展为合并低钠血症后, GCS评分、肌力评级、尿量对预测意识障碍并发低钠血症有一定的价值。

Abstract:
Objective To explore the values of Glasgow Coma Scale (GCS), muscle strength level and urine volume in predicting the progression of complicated hyponatremia in patients with consciousness disorder.
Methods Totally 80 consciousness disorder patients with complicated hyponatremia in department of neurosurgery were selected, and changes of GCS score, muscle strength level, urine volume and vital signs before and after the disease progression were compared.
Results When hyponatremia occurred in patients with simple disturbance of consciousness, the GCS score, muscle strength level and urine volume decreased significantly (P < 0.05). There were no significant differences in heart rate and blood pressure before and after the disease progression (P > 0.05).
Conclusion When hyponatremia occurs in the progression of simple disturbance of consciousness, the GCS score, muscle strength level and urine volume are of great value in predicting consciousness disorder complicated with hyponatremia.

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