• Clinical Application of Heart rate variability in Critically ill Patients with severe acute pancreatitisCao Fengsheng1, Li Yan1, Liu Weiquan2, Jin Liang2, Zhu Wei2*. 1Xiangyang Central Hospital, Xiangyang 440121,China 2Tongji Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
  • 曹锋生,李艳,刘伟权,静亮,祝伟.心率变异性在重症急性胰腺炎患者病情评估和预后判断中的作用[J].内科急危重症杂志,2016,22(6):
    DOI:
    CN KeyWords:  心率变异性  重症急性胰腺炎  APACHE评分  多器官功能障碍综合征  预后
    EN KeyWords:Heart rate variability  Severe acute pancreatitis  APACHE score  Multiple organ disturbance syndrome  Prognosis
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    Author:Cao Fengsheng
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          目的:探讨心率变异性分析在重症急性胰腺炎(SAP)患者病情严重程度及预后判断中的作用。方法:回顾性分析51例SAP患者不同APACHEⅡ评分组、死亡组与存活组、不同数量器官衰竭组心率变异性检查结果。采用受试者工作特征(ROC)曲线确定预测因素的界值,分析该界值对患者死亡的预测价值。结果:APACHEⅡ评分≥10分组患者的SDNN、PMN50、TF和LF数值明显低于APACHEⅡ评分<10分组的患者,其中APACHEⅡ评分≥20分组患者的SDNN和LF数值明显低于APACHEⅡ评分10-20分组的患者(P<0.05);同时死亡组和发生MODS组患者的SDNN、PMN50、TF、LF数值分别低于存活组和未发生MODS组患者(P<0.05)。结论:心率变异性分析在SAP患者病情严重程度评估和预后判断中有重要作用。
    EN Abstract:
          Objective To explore the efficiencies of heart rate variability in evaluating the disease and the prognosis in critically ill patients with severe acute pancreatitis. Methods To analysis the result of HRV in survivors and non-survivors groups、different APACHEⅡ score groups、MODS group and non-MODS group. Receiver operator characteristic curve (ROC)was used to determine the cutoff values. Results There were significant difference of