摘要
目的探讨危重儿伴胃肠功能障碍时对预后有影响的危险因素,为制定适宜的干预措施提供依据。方法回顾性分析135例伴胃肠功能障碍的危重儿,比较死亡组与存活组患儿的临床特点,采用非条件Logistic回归分析方法,对可能影响预后的危险因素进行多因素分析。结果①135例患儿,死亡52例,病死率38.5%;②多因素非条件Logistic回归分析显示,伴发休克或循环不良、肾功能障碍、危重病评分及肝脏、血液系统功能障碍为死亡的危险因素,其相对危险度依次为:16.19、14.11、13.86、6.75、6.12。结论危重儿伴胃肠功能障碍预后与多种因素有关,主要是伴发休克或循环不良、危重病评分及肾脏、肝脏及血液系统功能障碍。
Objective To explore the prognostic factors of gastrointestinal dysfunction in children with critical illnesses.Methods A retrospective case control study was conducted on 135 critically ill children. Multivariate statistical analysis was performed by unconditioned Logistic regression. The odds rations （OR） and their 95% confidence intervals （ 95% CI ） were estimated.Results （1） 83 children were alive while 52 children were dead. The incidence of death was 38.5% . （2）By multivariate statistical analysis, five variables that independently predicted death were defined as follows： shock or circulation dysfunction （ OR= 16.19 ）, renal dysfunction （ OR=14.11 ）, critical illness scoring （OR=13.86）,hepatic dysfunction （ OR=6.75 ） and hematological dysfunction （ OR=6.12 ）. Conclusions More attention should be paid to deal with these risk factors and to improve survival rate of the children with gastrointestinal dysfunction.
出处
《医学信息》
2009年第10期2132-2135,共4页
Journal of Medical Information
关键词
危重儿
胃肠功能障碍
预后相关因素
Critically ill children
Gastrointestinal dysfunction
Prognostic factors
