ICU感染性休克预后的影响因素分析与防护对策

Analysis of influencing factors and protective measures on prognosis of septic shock in patients with ICU

目的探讨ICU感染性休克预后的影响因素,并根据影响因素提出防护对策。方法选取2016年8月至2019年8月收治的70例ICU感染性休克患者为研究对象,根据预后情况将其分为死亡组39例和存活组31例。收集患者的一般资料、临床症状、检查指标等相关信息,进行多因素分析,确定影响其预后的危险因素。结果影响ICU感染性休克预后效果的因素包括APAECHE Ⅱ评分、合并真菌感染、白蛋白<35g/L、合并急性肾损伤。结论护理人员应提高专业知识水平,加强对感染性休克不良结局的预见性,以改善预后效果,降低病死率。

Objective To explore the influential factors on prognosis of septic shock in patients with ICU,and put forward protective measures according to the influential factors. Methods We selected 70 cases of ICU patients with septic shock who were treated from August 2016 to August 2019 as the study subjects. They were divided into a death group for 39 cases and a survival group for 31 cases according to the prognosis. The patients’ general information,clinical symptoms,examination indicators and other related information were collected to implement a multi-factor analysis and determine the risk factors that affect their prognosis. Results Factors affecting the prognosis of septic shock in patients with ICU included APAECHE Ⅱ score,combined fungal infection,albumin < 35 g/L,and combined acute kidney injury. Conclusion Nursing staff should improve their level of professional knowledge and strengthen the predictability of the adverse outcome of septic shock in order to improve the prognostic effect and reduce the mortality rate.