慢性肺源性心脏病并发多脏器功能衰竭危险因素的分析

Risk Factors Inducing MOF in Chronic Pulmonary Heart Disease

目的 :分析慢性肺心病并发多脏器功能衰竭的危险因素。方法 :以肺心病并发多脏器功能衰竭 10 6例为对象 ,通过回顾性分析 ,对肺部感染、低氧血症、酸碱失衡及电解质紊乱、二氧化碳潴留、年龄 5个致多脏器功能衰竭危险性因素 ,采用mantel Haenszelχ2 检验进行统计学分析。结果 :肺部感染、低氧血症、酸碱失衡及电解质紊乱、二氧化碳潴留及年龄 6 0～ 79岁 5个致多脏器功能衰竭的相对危险度分别为 2 5 .83、2 4 .92、8.5 7、6 .4 0及 5 .94 ;95 %cl分别为 3.6 4～ 183.5 9、3.2 7～ 179.4 0、1.94～ 37.83、1.75～ 2 3.33及 1.6 8～ 2 1.4 9。结论 :5个危险因素中 ,按危险性大小依次为肺部感染、低氧血症、酸碱失衡及电解质紊乱、二氧化碳潴留及年龄 6 0～ 79岁。

objective:To analyze the risk factors inducing MOF in chronic pulmonary heart disease.Methods:Three hundred and four cases with chronic pulmonary heart disease referred to jiangxi pulmonary hospital between December 1997 and Apirl 2003 were reviewed Retrospectively.The MOF-related risk factors including pulmonary infection,anoxia, acid-base disturbance and electrolyte disorder,hypercapnia and age were analyzed with the Mantel-Haenszel χ 2 text.Results:The RRs of the five MOF concerning pulmonary infection, anoxia, acid-base disturbance and electrolyte disorder,hypercapnia and age were respectively 25.83,24.92,6.40 and 5.94,with the 95CL of 3.64～183.59,3.27～179.40,1.94～37.83,1.75～23.33 and 1.68～21.49.Conclusion:The 5 risk factors recognized as MSOF related in turn decrease would be pulmonary infection,anoxia,acid-base disturbance and electrolyte disorder, hypercapnia and age(60～79yrs).