摘要
目的 :探讨ICU病房病人发生腹泻的相关因素 ,为指导临床制定最佳治疗护理方案提供科学依据。方法 :对入住ICU的危重病人 73 5例 ,入住2 4h后发生腹泻的 86例病人 ,分别从年龄、APACHEII评分、住院时间方面进行统计比较 ,同时从肠内营养、是否有肠道感染、是否应用广谱抗生素、胃肠动力药物及机械通气方面进行分析。结果 :年龄≤ 45岁的病人发生腹泻 2 9例 ,>45岁的病人发生腹泻 5 7例 ;APACHEII评分≤ 15的病人发生腹泻 42例 ,APACHEII评分 >15的病人发生腹泻 44例 ;住院时间≤ 5d的病人发生腹泻 2 5例 ,>5d的病人发生腹泻 61例。经 χ2 检验 ,均有统计学意义 (P <0 .0 1)。 86例腹泻病人中与不适当肠内营养有关的 5 1例 ( 5 9.3 0 % ) ,与肠道感染有关的 18例( 2 0 .93 % ) ,与应用广谱抗生素有关的 15例 ( 17.44 % ) ,与应用胃肠动力药物有关的 11例( 12 .79% ) ,与应用机械通气有关的 5例 ( 5 .81% )。结论 :病人年龄越大、病情越重、住ICU时间越长越容易发生腹泻。腹泻的发生与不适当的肠内营养、肠道感染、应用广谱抗生素、胃肠动力药物和机械通气综合因素相关。
Objective: to explore related factors of patients in ICU developed diarrhea, to provide a scientific basis for guiding medical and nursing staffs to make out the best therapeutic plan and nursing care program. Method: a total of 735 cases of critical inpatients of ICU were enrolled in this study. Among whom, 86 cases developed diarrhea 24 h after their admission. Factors including age, APACHEII score, duration of hospitalization of patients have been analyzed. Meanwhile, data of patients including enteral nutrition, whether he had complicated with intestinal tract infection, whether he had accepted broad-spectrum antibiotics and gastrointestinal dynamic drugs, and whether he had undergone mechanical respiration were analyzed. Results:29 cases of 45 years of age or less developed diarrhea.57 cases of elder than 45 years of age developed diarrhea. 42 cases with the APACHEII score 15 or less had developed diarrhea.44 cases with the APACHEII score more than 15 had complicated with diarrhea. In terms of hospitalization duration of patients, only 25 cases who have been stayed in hospital 5 days or less and developed diarrhea.61 cases who had stayed in hospital more than 5 days developed diarrhea. There were significant statistical differences between each two groups (χ 2 test, all P<0.01). Among the total of 86 cases who had developed diarrhea, 51 cases had accepted enteral nutrition improperly which accounted for 59.30%. 18 cases related to the intestinal tract infection accounted for 20.93%. 15 cases related to the administration of broad-spectrum antibiotics accounted for 17.44%. 11 cases were related to the use of gastrointestinal dynamic drugs accounted for 12.79%. And 5 cases related to the mechanical respiration accounted for 5.81%. Conclusion: the elder of patient's age, the more severity of patient's illness state, the longer hospitalization duration, patients were more prone to develop diarrhea. The occurrence of diarrhea in patients were related to factors including improper use of enteral nutrition, intes
出处
《护理研究（中旬版）》
2003年第11期1319-1321,共3页
Chinese Nursing Researsh
