分析重症感染所致ICU感染性休克患者的ICU住院时间影响因素

Analysis of Influencing Factors of ICU Hospitalization in ICU Patients With Severe Septic Infection

目的探究和分析影响重症感染所致的ICU感染性休克患者ICU住院时间的相关因素。方法选取2015年10月—2016年10月本院收治的所有重症感染所致ICU感染性休克患者60例作为研究对象,根据ICU住院时间的不同,将其分为观察组与对照组。观察组患者的ICU住院时间不超过2天;对照组患者的ICU住院时间在2天以上,分析患者ICU住院时间的影响因素。结果两组患者的急性生理与慢性健康评分(APACHEⅡ)、机械通气时间、乳酸水平、氧合指数方面对比,差异均具有统计学意义(P<0.05);观察组患者的DIC和MODS发生率低于对照组,差异具有统计学意义(P<0.05)。结论对两组患者的ICU住院时间具有显著影响的相关因素有APACHEⅡ、机械通气时间、乳酸水平、氧合指数。

Objective To explore and analyze the related factors of ICU hospitalization in ICU patients with septic shock caused by severe infection. Methods From October 2015 to October 2016, 60 patients with severe septic shock caused by ICU infection in our hospital were selected as the study subjects. According to the hospitalization time of ICU, the patients were divided into two groups： observation group and control group. The ICU hospitalization time of the observation group was not more than 2 days; Patients in the control group had ICU hospitalization for more than 2 days, to analyze the influencing factors of hospitalization time of ICU patients. Results The difference between the two groups in terms of acute physiology and chronic health score （APACHE II）, mechanical ventilation time, lactic acid level and oxygenation index was statistically significant （P 〈 0.05）; The incidence of DIC and MODS in the observation group was lower than that in the control group, the difference was statistically significant （P 〈 0.05）. Conclusion The influencing factors of ICU hospitalization time in both groups were APACHE 3, mechanical ventilation time, lactate level and oxygenation index.