CAJ | 학술논문

目的：探讨重症监护室(ICU)重症肺炎患者的相关危险因素。方法对197例肺炎患者的相关资料进行回顾性分析。其中符合重症肺炎诊断标准的92例患者作为重症组，其他的105例为非重症肺炎患者作为非重症组。结果重症组患者的平均年龄(76.46±5.35)岁，非重症组平均年龄(63.56±3.65)岁，重症组显著高于非重症组，差异有统计学意义(P<0.05)。重症组合并心脑血管疾病、合并慢性肺病、表现为呼吸困难、并发呼吸衰竭、并发感染性休克、进行机械通气比例均显著高于非重症组，差异均有统计学意义(P<0.05)。重症组患者死亡30例(32.6%)，非重症组死亡12例(11.4%)，重症组显著高于非重症组，差异有统计学意义(P<0.05)。重症组PT>13 s的患者20例(21.7%)，非重症组8例(7.6%)，重症组高于非重症组，差异有统计学意义(P<0.05)。经过Logistic回归分析，机械辅助通气、凝血酶原时间(PT)>13 s、合并呼吸衰竭、年龄较大(>75岁)均是重症肺炎的危险因素。结论 ICU重症肺炎的危险因素较多，合并基础疾病较多，年龄较大、合并呼吸衰竭、需机械通气是ICU罹患重症肺炎的危险因素。
목적：탐토중증감호실(ICU)중증폐염환자적상관위험인소。방법대197례폐염환자적상관자료진행회고성분석。기중부합중증폐염진단표준적92례환자작위중증조，기타적105례위비중증폐염환자작위비중증조。결과중증조환자적평균년령(76.46±5.35)세，비중증조평균년령(63.56±3.65)세，중증조현저고우비중증조，차이유통계학의의(P<0.05)。중증조합병심뇌혈관질병、합병만성폐병、표현위호흡곤난、병발호흡쇠갈、병발감염성휴극、진행궤계통기비례균현저고우비중증조，차이균유통계학의의(P<0.05)。중증조환자사망30례(32.6%)，비중증조사망12례(11.4%)，중증조현저고우비중증조，차이유통계학의의(P<0.05)。중증조PT>13 s적환자20례(21.7%)，비중증조8례(7.6%)，중증조고우비중증조，차이유통계학의의(P<0.05)。경과Logistic회귀분석，궤계보조통기、응혈매원시간(PT)>13 s、합병호흡쇠갈、년령교대(>75세)균시중증폐염적위험인소。결론 ICU중증폐염적위험인소교다，합병기출질병교다，년령교대、합병호흡쇠갈、수궤계통기시ICU리환중증폐염적위험인소。
Objective To investigate related risk factors for severe pneumonia patients in intensive care unit (ICU). Methods Related data of 197 pneumonia patients were retrospectively analyzed. 92 cases among them with severe pneumonia were taken as severe group, and the other 105 cases without severe pneumonia as non-severe group. Results Average age in severe group was (76.46±5.35) years old, and it in non-severe group was (63.56±3.65) years old. That was higher in the severe group than in the non-severe group, and the difference had statistical significance (P<0.05). The severe group had all higher proportion of complicated with cardiovascular and cerebrovascular diseases, complicated with chronic pulmonary disease, manifestation of dyspnea, complicated with dyspnea, complicated with septic shock, and mechanical ventilation than the non-severe group, and their differences all had statistical significance (P<0.05). There were 30 death cases in the severe group (32.6%) and 12 death cases in the non-severe group (11.4%). The severe group had more death cases than the non-severe group, and their difference had statistical significance (P<0.05). There were 20 cases (21.7%) with PT>13 s in the severe group and 8 cases (7.6%) in the non-severe group. The severe group had higher case number than the non-severe group, and their difference had statistical significance (P<0.05). Logistic regression analysis showed that assisted mechanical ventilation, prothrombin time (PT)>13 s, complicated with dyspnea, and old age (>75 years old) were all the risk factors of severe pneumonia. Conclusion Severe pneumonia in ICU contains several risk factors and multiple complicated basic disease. Old age, complicated with dyspnea, need for mechanical ventilation are all risk factors of severe pneumonia patients in ICU.