Analysis of risk factors and intervention for loss of consciousness in patients with bee stings
蜂蛰伤患者发生意识丧失的危险因素分析及干预

摘要

目的 探讨蜂蛰伤后发生意识丧失的危险因素。方法 回顾性分析2015年1月至2023年12月在我院住院治疗的蜂蛰伤患者，按是否出现意识丧失分为意识丧失组（13例）和无意识丧失组（97例），使用Logistic回归分析患者出现意识丧失的危险因素，并ROC曲线分析相关危险因素的最佳截点。结果 Logistic回归分析提示：出现低血压和球蛋白下降是蜂蛰伤患者发生意识丧失的独立危险因素；出现低血压发生意识丧失的风险是无低血压的21.653倍（P＜0.001）；血清球蛋白水平＜27.75g/L的患者发生意识丧失的风险为≥27.75 g/L患者的8.04倍（P=0.003）。结论 蜂蛰伤患者如出现低血压和血清球蛋白水平＜27.75g/L，出现意识丧失的风险明显升高，需早期积极防治及加强护理干预。

Abstract

Objective To explore the risk factors for loss of consciousness after bee stings.
Methods Retrospective analysis was conducted on bee sting patients hospitalized in our hospital from January 2015 to December 2023. The patients were divided into a consciousness loss group (13 cases) and an unconscious loss group (97 cases) based on whether they experienced consciousness loss. Logistic regression was used to analyze the risk factors for consciousness loss in patients, and ROC curve analysis was used to determine the optimal cutoff point for related risk factors.
Results Logistic regression analysis suggests that hypotension and decreased globulin are independent risk factors for consciousness loss in patients with bee stings; The risk of losing consciousness due to hypotension is 21.653 times higher than that without hypotension (P<0.001); The risk of consciousness loss in patients with serum globulin levels<27.75g/L is 8.04 times higher than in patients with serum globulin levels ≥ 27.75g/L (P=0.003).
Conclusion   If patients with bee stings experience hypotension and serum globulin levels<27.75g/L, the risk of loss of consciousness is significantly increased, and early active prevention and treatment, as well as strengthened nursing interventions, are needed.