医学临床研究
醫學臨床研究
의학림상연구
JOURNAL OF CLINICAL RESEARCH
2012年
11期
2171-2173
,共3页
肺炎/病因学%加强医疗病房%预后%危险因素
肺炎/病因學%加彊醫療病房%預後%危險因素
폐염/병인학%가강의료병방%예후%위험인소
Pneumonia/ET%intensive care units%prognosis%risk factors
[目的]分析重症监护病房(ICU)获得性肺炎患者预后的危险因素.[方法]回顾性分析116例确诊为 ICU 获得性肺炎患者的临床资料,根据患者住院期间是否死亡分为生存组和死亡组,对影响预后因素进行统计学分析.[结果]两组患者性别、年龄、体重指数(BMI)、基础疾病评分、GCS 评分、建立人工气道、机械通气、血小板计数(PLT )水平、尿素氮水平(BUN)水平、总胆红素水平(TBIL)水平、血浆白蛋白水平(ALB)等比较无统计学意义( P >0.05),ICU 住院史、急性生理和慢性健康评分(Apache Ⅱ评分)、序贯性器官功能衰竭评分(SOFA 评分)、使用血管活性药物、血糖等方面比较有统计学意义( P <0.05). Logic 多元回归分析示 ICU 住院病史、需要循环支持是影响 ICU 获得性肺炎患者死亡的主要危险因素.[结论]入 ICU 时疾病严重性评分值高、高血糖可能是影响 ICU 获得性肺炎患者预后因素,但既往有 ICU 住院病史及并发休克是 ICU获得性肺炎患者死亡的独立危险因素.
[目的]分析重癥鑑護病房(ICU)穫得性肺炎患者預後的危險因素.[方法]迴顧性分析116例確診為 ICU 穫得性肺炎患者的臨床資料,根據患者住院期間是否死亡分為生存組和死亡組,對影響預後因素進行統計學分析.[結果]兩組患者性彆、年齡、體重指數(BMI)、基礎疾病評分、GCS 評分、建立人工氣道、機械通氣、血小闆計數(PLT )水平、尿素氮水平(BUN)水平、總膽紅素水平(TBIL)水平、血漿白蛋白水平(ALB)等比較無統計學意義( P >0.05),ICU 住院史、急性生理和慢性健康評分(Apache Ⅱ評分)、序貫性器官功能衰竭評分(SOFA 評分)、使用血管活性藥物、血糖等方麵比較有統計學意義( P <0.05). Logic 多元迴歸分析示 ICU 住院病史、需要循環支持是影響 ICU 穫得性肺炎患者死亡的主要危險因素.[結論]入 ICU 時疾病嚴重性評分值高、高血糖可能是影響 ICU 穫得性肺炎患者預後因素,但既往有 ICU 住院病史及併髮休剋是 ICU穫得性肺炎患者死亡的獨立危險因素.
[목적]분석중증감호병방(ICU)획득성폐염환자예후적위험인소.[방법]회고성분석116례학진위 ICU 획득성폐염환자적림상자료,근거환자주원기간시부사망분위생존조화사망조,대영향예후인소진행통계학분석.[결과]량조환자성별、년령、체중지수(BMI)、기출질병평분、GCS 평분、건립인공기도、궤계통기、혈소판계수(PLT )수평、뇨소담수평(BUN)수평、총담홍소수평(TBIL)수평、혈장백단백수평(ALB)등비교무통계학의의( P >0.05),ICU 주원사、급성생리화만성건강평분(Apache Ⅱ평분)、서관성기관공능쇠갈평분(SOFA 평분)、사용혈관활성약물、혈당등방면비교유통계학의의( P <0.05). Logic 다원회귀분석시 ICU 주원병사、수요순배지지시영향 ICU 획득성폐염환자사망적주요위험인소.[결론]입 ICU 시질병엄중성평분치고、고혈당가능시영향 ICU 획득성폐염환자예후인소,단기왕유 ICU 주원병사급병발휴극시 ICU획득성폐염환자사망적독립위험인소.
Objective To analyze the risk factors of the prognosis of patients with intensive care unit (ICU ) acquired pneumonia .[Methods] Clinical data of 116 patients diagnosed as ICU acquired pneumonia were analyzed retrospectively .All patients were divided into survival group and death group .The factors in‐fluencing the prognosis were statistically analyzed .[Results] There was no significant difference in sex ,age , body mass index(BMI) ,basic disease score ,GCS score ,artificial airway ,mechanical ventilation ,blood plate‐let count ,the level of urea nitrogen (BUN ) ,total bilirubin (TBIL) and plasma albumin(ALB) between two groups( P > 0 .05) .There were significant differences in the history of hospitalization in ICU ,acute physiolo‐gy and chronic health evaluation score (APACHE Ⅱ score) ,sequential organ failure assessment score (SOFA score) ,the usage of vasoactive agent and blood glucose between two groups ( P < 0 .05) .Logistic regression analysis showed that the history of hospitalization in ICU and circulation support were the main risk factor of the death of ICU acquired pneumonia .[Conclusion] The higher the score of illness severity and hyperglycemia admitted in ICU may be the risk factors of the prognosis of patients with ICU acquired pneumonia .But the previous history of hospitalization in ICU and complicated shock are the independent risk factor of the death of patients with ICU acquired pneumonia .
