CAJ | 학술논문

目的研究预测胃肠功能衰竭(GIF)的发生因素,探讨GIF与ICU住院患者死亡率、住院天数等的关系.方法收集急诊重症监护和重症监护两个病房的住院患者1 836份资料,回顾性分析年龄、APACHE Ⅱ评分和SOFA评分等指标在预测GIF发生方面的意义及GIF对患者住院天数、机械通气天数、死亡率的影响.结果 APACHEⅡ评分、SOFA评分及年龄与GIF有统计学意义(均P＜0.01),发生GIF的患者住院天数、机械通气时间以及死亡率较未发生者差异有统计学意义.结论 APACHEⅡ评分、SOFA评分及年龄可以作为预测GIF发生的敏感指标,CIF的发生可导致患者的住院天数和机械通气时间延长,可以作为评估危重患者预后的敏感性指标.
목적 연구예측위장공능쇠갈(GIF)적발생인소,탐토GIF여ICU주원환자사망솔、주원천수등적관계.방법 수집급진중증감호화중증감호량개병방적주원환자1 836빈자료,회고성분석년령、APACHE Ⅱ평분화SOFA평분등지표재예측GIF발생방면적의의급GIF대환자주원천수、궤계통기천수、사망솔적영향.결과 APACHEⅡ평분、SOFA평분급년령여GIF유통계학의의(균P＜0.01),발생GIF적환자주원천수、궤계통기시간이급사망솔교미발생자차이유통계학의의.결론 APACHEⅡ평분、SOFA평분급년령가이작위예측GIF발생적민감지표,CIF적발생가도치환자적주원천수화궤계통기시간연장,가이작위평고위중환자예후적민감성지표.
Objective To evaluate the association of gastrointestinal failure(GIF)with ICU hospital days,mechanical ventilation days and mortality,to identify its risk factors.Methods A retrospective analysis of patients (n=1836)admired to ICU and EICU during the years from 2003 to 2007 was performed to evaluate the association between GIF and their length of stay,mechanical ventilation days and mortality.The ability of APACHE Ⅱ,SOFA and age in predicting the incidence rate of GIF was identified.Results GIF was significantly related to higher mortality,as well as prolonged length of ICU stay and mechanical ventilation respectively.Age,APACHE Ⅱ and SOFA scores at admission were identified as the risk factors for the development of GIF.Condusion GIF should be considered a relevant clinical predictor of mcreased mortality and prolonged ICU stay and mechanical ventilation.Age,APACHE Ⅱ and SOFA scores are sensitive risk factors for the development of GIF.