CAJ | 학술논문

目的探讨重症监护患者获得性败血症的发生、菌种、影响预后的危险因素及护理对策.方法回顾性分析2004年12月至2009年6月入住ICU后确诊发生败血症的48例患者的病原菌培养结果及临床资料.结果本次调查中ICU败血症发病率为1.01%,死亡率为47.9%;56株致病菌中革兰阳性菌占42.8%,革兰阴性菌占39.3%,真菌占17.9%;年龄≥60岁、APACHEⅡ高评分、低蛋白血症、应用肠外营养是影响ICU败血症预后的危险因素.结论护理人员应加强年龄≥60岁、高APACHE Ⅱ评分、低蛋白血症等获得性败血症患者的相关护理及营养管理,以改善预后.
목적 탐토중증감호환자획득성패혈증적발생、균충、영향예후적위험인소급호리대책.방법 회고성분석2004년12월지2009년6월입주ICU후학진발생패혈증적48례환자적병원균배양결과급림상자료.결과 본차조사중ICU패혈증발병솔위1.01%,사망솔위47.9%;56주치병균중혁란양성균점42.8%,혁란음성균점39.3%,진균점17.9%;년령≥60세、APACHEⅡ고평분、저단백혈증、응용장외영양시영향ICU패혈증예후적위험인소.결론 호리인원응가강년령≥60세、고APACHE Ⅱ평분、저단백혈증등획득성패혈증환자적상관호리급영양관리,이개선예후.
Objective To investigate the category of pathogenic bacteria, clinical features, risk factors affecting prognosis and related nursing procedure of septicemia in ICU. Methods Retrospective study of a cohort of septicemia patients (n =48) admitted to ICU between December 2004 and June 2009, with assessment of 8 potential risk factors for mortality by univariate analysis. Results The incidence of septicemia was 1.01% , and the morality was 47.9% ( 23/48 ). Among 56 strains of pathogen G+, G- and fungi accounted for 42.8% (24/56) , 39.3% (22/56) and 17.9% (10/56) , respectively. By univariate analysis, several variables were proved to be statistically significant, including age≥60 years (OR = 1.957 and 95% CI = 1. 156～3. 311 ) , plasma albumin < 30 g/L ( OR = 1. 630 and 95% CI = 1. 028～2. 586 ) and parenteral nutrition ( OR = 2. 536 and 95% CI= 1.174～5. 481). Conclusions The nursing staff should pay more attention to the septicemia patients with age≥60 years, plasma albumin < 30 g/L and parenteral nutrition to improve the outcome of septicemia.