胃肠功能障碍和衰竭对老年危重病患者临床预后的影响

Influence of gastrointestinal dysfunction and failure on clinical prognosis in the elderly with critical illness

目的观察胃肠功能障碍与衰竭(GIDF)对老年危重病患者临床预后的影响。方法将105例危重病患者分为胃肠功能障碍组和非胃肠功能障碍组,观察2组患者30 d内多器官功能障碍综合征(MODS)的发生率、APACHEⅡ评分和病死率,胃肠功能障碍组存活患者和死亡患者GIDF评分。结果胃肠功能障碍组30 d内MODS发生率、病死率、APACHEⅡ评分均明显高于非胃肠功能障碍组。63例胃肠功能障碍者,存活30例,死亡33例,存活组GIDF评分为(1.77±0.90)分,死亡组GIDF评分为(2.85±0.87)分,存活组GIDF评分低于死亡组。结论胃肠功能障碍老年危重病患者MODS发生率、APACHEⅡ评分、病死率高于非胃肠功能障碍患者。GIDF评分对老年危重病患者临床预后的评估有一定的临床意义,且GIDF评分越高,临床预后越差。

Objective It is to observe the influence of gastrointestinal dysfunction and failure（GIDF） on clinical prognosis in the elderly with critical illness. Methods 105 cases of the elderly with critical illness were divided into GIDF group and non-GIDF group. The occurrence of MODS, APACHE II scores and mortality rates in 30 days were observed in both groups. The GIDF scores in both survival group and death group were observed in GIDF group. ReSults The occurrence of MODS, A- PACHE Ⅱ scores and mortality rates in 30 clays in GIDF group were higher than those in non-GIDF group. In the 63 cases with GIDF, there were 30 cases who were alive and 33 cases who were dead, and their GIDF scores were 1.77 ± 0.90 and 2. 85 ± 0.87 respectively. The GIDF scores of alive group were lower than that of dead group. Conclusion The occurrence ratio of MODS, APACHE Ⅱ scores and mortality rates in GIDF group are higher than those in non-GIDF group. GIDF score has certain significance on the clinical prognosis of the elderly with critical illness, higher the GIDF scores, worse the clinical prognosis.