ICU中机械通气患者胃肠道功能障碍与预后的关系

The Relation between Gastrointestinal Dysfunction and Prognosis of Patients Receiving Mechanical Ventilation in ICU

为了探讨重症加强治疗病房机械通气患者胃肠道功能障碍与预后的关系,回顾性分析了我院中心ICU收治的68例非胃肠道疾病且行有创机械通气治疗超过48h患者的临床资料,并将患者分为胃肠道功能障碍组和非胃肠道功能障碍组,用统计软件分析发生胃肠道功能障碍的相关临床因素及发生胃肠道功能障碍后对病死率的影响。结果显示,统计分析显示胃肠道功能障碍组和非胃肠道功能障碍组在机械通气天数、APACHEⅡ评分、MODS的发生率、病死率间存在明显差异。因此,对危重病患者应重视其胃肠道功能障碍的防治。

To explore the relation between gastrointestinal dysfunction and prognosis of patients treated with mechanical ventilation in ICU. The clinical data of all the 68 patients receiving mechanical ventilation over 48 hours and without gastrointestinal disease on admission to our comprehensive ICU were retrospectively investigated. All the patients were divided into gastrointestinal dysfunction group and non - gastrointestinal dysfunction group. We analysed the related clinical factors of gastrointestinal dysfunction and its influence to case fatality with statistical software. Statistical analysis showed significant differences between gastrointestinal dysfunction group and non- gastrointestinal dysfunction group in length of mechanical ventilation, APACHEⅡ （Acute Physiology and Chronic Health Evaluation Ⅱ,APACHE Ⅱ）, incidence of MODS（multiple organ dysfunction syndrome, MODS） and case fatality. We should pay close attention to prevention and treatment of gastrointestinal dysfunction in sever case.