中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
33期
41-43
,共3页
ICU%感染性休克%病死率%病死危险因素
ICU%感染性休剋%病死率%病死危險因素
ICU%감염성휴극%병사솔%병사위험인소
ICU%Septic shock%Fatality rate%Risk factors for fatality
目的:对ICU感染性休克病死率、病死危险因素与相应临床治疗措施进行分析。方法:对96例感染性休克患者展开回顾性分析,利用单因素与多因素Logistic回归分析方法对患者病死危险因素展开分析。结果:96例患者病死率为57.29%;单因素分析结果显示,在感染性休克患者中,存活组与死亡组在APACHEⅡ评分、年龄、SIRS数目、血液感染、平均动脉压及白蛋白、24 h尿量与MODS数目8个因素差异有统计学意义(P<0.05);多因素Logistic回归分析结果表明,白蛋白、SIRS数目、APACHEⅡ评分与MODS数目是导致ICU感染性休克患者病死的独立危险因素。结论:在对ICU感染性休克展开治疗时,对炎症反应进行积极调控,以去除病因为基础展开综合治疗,可有效降低该疾病病死率。
目的:對ICU感染性休剋病死率、病死危險因素與相應臨床治療措施進行分析。方法:對96例感染性休剋患者展開迴顧性分析,利用單因素與多因素Logistic迴歸分析方法對患者病死危險因素展開分析。結果:96例患者病死率為57.29%;單因素分析結果顯示,在感染性休剋患者中,存活組與死亡組在APACHEⅡ評分、年齡、SIRS數目、血液感染、平均動脈壓及白蛋白、24 h尿量與MODS數目8箇因素差異有統計學意義(P<0.05);多因素Logistic迴歸分析結果錶明,白蛋白、SIRS數目、APACHEⅡ評分與MODS數目是導緻ICU感染性休剋患者病死的獨立危險因素。結論:在對ICU感染性休剋展開治療時,對炎癥反應進行積極調控,以去除病因為基礎展開綜閤治療,可有效降低該疾病病死率。
목적:대ICU감염성휴극병사솔、병사위험인소여상응림상치료조시진행분석。방법:대96례감염성휴극환자전개회고성분석,이용단인소여다인소Logistic회귀분석방법대환자병사위험인소전개분석。결과:96례환자병사솔위57.29%;단인소분석결과현시,재감염성휴극환자중,존활조여사망조재APACHEⅡ평분、년령、SIRS수목、혈액감염、평균동맥압급백단백、24 h뇨량여MODS수목8개인소차이유통계학의의(P<0.05);다인소Logistic회귀분석결과표명,백단백、SIRS수목、APACHEⅡ평분여MODS수목시도치ICU감염성휴극환자병사적독립위험인소。결론:재대ICU감염성휴극전개치료시,대염증반응진행적겁조공,이거제병인위기출전개종합치료,가유효강저해질병병사솔。
Objective: To analyze the fatality rate caused by septic shock, risk factors for fatality and the corresponding clinical therapeutic measures in ICU.Method: Ninety-six cases of patients with septic shock were analyzed retrospectively, and the risk factors for fatality of patients were analyzed with single-factor and multiple-factor Logistic regression analysis method.Result: The case fatality rate of the 96 cases of patients was 57.29%; The results of single-factor analysis showed that the APACHEⅡ score, age, number of SIRS, blood infection, 24 h urinary amount, mean arterial pressure and albumin and the number of MODS of the survival group and the fatality group in the patients with septic shock had significant difference (P<0.05). The multiple-factor Logistic regression analysis showed that Albumin, number of SIRS, APACHE Ⅱ score and the number of MODS were the risk factors causing fatality of patients with septic shock in the ICU.Conclusion: For patients with septic shock in ICU, active control measures to inflammatory responses and comprehensive treatment on the basis of pathogenesis removal can help reduce the fatality rate during treatment.