摘要
目的探讨重症患者重返ICU后的预后临床因素。方法将2014年6月-2016年6月我院500例ICU重症患者纳入研究。其中15例患者重返ICU监护(设为研究组),另485例未重返ICU监护(设为对照组)。对两组资料进行统计分析。结果两组患者在有无输血、是否手术、APACHEⅡ评分、ICU监护时间对比,差异有统计学意义(P<0.05)。研究组死亡率比对照组高(33.3%vs.3.5%,P<0.05)。经多因素分析显示,造成重返ICU患者死亡的危险因素包括重返ICU、APACHEⅡ评分、输血、年龄。结论造成重返ICU患者高死亡率的原因主要是患者重返ICU、年龄高、前次进入ICU输血以及病情比较严重。
Objective To investigate the prognostic factors of severe patients after ICU. Methods 500 patients with ICU in our hospital from June 2014 to 2016 in June were enrolled in the study. Among them, 15 patients returned to the ICU （set as study group）, and the other 485 cases did not return to ICU （set as reference group）. Statistical analysis of the two groups data. Results There were significant differences between the two groups in blood transfusion, surgery, APACHE score and ICU monitoring time （P〈0.05）. The mortality rate of the study group was higher than that of the reference group （33.3% vs. 3.5%, P〈0.05）. The multivariate analysis showed that the risk factors for the death of ICU patients included ICU, APACHE score, blood transfusion, and age. Conclusion ICU patients caused by causes of high mortality rate is mainly ICU, high age, patients to return to the previous ICU in blood transfusion and more serious illness.
作者
廖银光
LIAO Yin＇guang(ICU, Nansha Hospital of The First People＇s Hospital of Guangzhou City, Guangzhou Guangdong 511457, China)
出处
《中国继续医学教育》
2017年第4期114-115,共2页
China Continuing Medical Education
关键词
重症患者
预后
临床因素
severe patients
reentry ICU
prognosis
clinical factors
