摘要
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。
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 eases 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 （/9〈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.
出处
《中国现代药物应用》
2015年第15期20-21,共2页
Chinese Journal of Modern Drug Application
关键词
重症监护室
重症肺炎
危险因素
Intensive care unit
Severe pneumonia
Risk factors
