影响ICU维、汉患者死亡的多因素流行病学的回顾性分析

Multivariate Analysis of Uygur,Han Nationality Death Patients in ICU Patients:A Retrospective Analysis

目的比较分析重症监护病房(intensive care unit,ICU)中维、汉脓毒血症患者之间临床实验检查的异同。方法对笔者医院综合ICU 2006年1月～2009年12月维、汉脓毒血症患者进行血常规、血生化、血气分析、凝血功能、病原学培养及平均急性生理和慢性健康状况Ⅱ评分。结果调查ICU维、汉脓毒血症病人100例,维、汉死亡患者血常规、生化、血气部分指标存在差异,相关因素分析显示,死亡原因与钠离子、渗透压、碱性磷酸酶相关,感染以鲍曼不动杆菌发生率最高。结论维、汉脓毒血症患者,部分病理生理指标存在差异。表明脓毒血症对机体产生的病理生理机制在维、汉脓毒血症患者中存在不同,需进一步探讨。

Objective To explore the clinical laboratory of differences between Uygur and Han nationality sepsis patients. Methods Blood routine, biochemical indexes, blood gas, coagulation function, etiological culture, acute physiology and chronic health evaluation （ Ⅱ ） were investigated retrospectively among Uygur and Han sepsis patients who were in general ICU of our hospital from December 2004 to November 2009. Results Totally 100 sepsis patients were studied. There were some difference of clinical practice variations in Uygur and Han sepsis patients. The results of the related factor analysis showed that there was a relationship between the cause of death and sodi- um, osmolality, alkaline phosphatase. The infection rate of Acinetobacter haumannii was the highest among all pathogenic bacteria. Con- clusion There were some difference in clinical pathophysiologie indices between Uygur and Han sepsis patients. The pathophysiological mechanism was different and needed to be further explored.