某医院ICU获得性衰弱病原菌感染情况分析

Analysis of Acquired Weakness and Pathogen Infection in Intensive Care Unit of a Hospital

目的对重症医学监护室获得性衰弱(ICU-AW)患打的病因及其病原菌感染情况进行分析。方法收集北票市中心医院2013-2018年ICU收治的326例患者,依据是否有ICU-AW分为ICU-AW组154例和非ICU-AW组172例。对两组的临床资料进行比较,并对ICU-AW组送检标本的病原菌感染构成及主要病原菌耐药性进行分析。结果两组年龄、APACHE Ⅱ评分、接受激素和机械通气治疗比例、入住ICU时间差异均有统计学意义(P<0.05)。ICU-AW组病原菌标本检测共获得197份阳性结果,其中革兰阴性菌感染占58.88%、革兰阳性菌感染占28.93%、真菌感染占12.18%。结论ICU-AW的发生率较高,在积极治疗原发病的同时,加强感染治疗,对控制病情发展具有重要意义。

Objective The causes of acquired weakness(ICU-AW)and the infection of pathogens in ICU were analyzed.Methods A total of 326 patients admitted to Beipiao Central Hospital from 2013 to 2018 were collected and divided into ICU-AW group(N=154 patients)and non ICU-AW group(N=172 patients).The clinical data of the two groups were compared,and the composition of pathogen infectio n and the resista nee of main pathogc ns in ICUAW group were analyzed.Results There were significant differences in age,APACHE Ⅱ score,the proportion of patients receiving hormone and mechanical ventilation treatment,and the time of ICU admission between the two groups(P<0.05).In ICU-AW group.197 positive results were obtained in pathogen detection,of which 58.88% were gram-negative,28.93% were gram-positive and 12.18%were fungal.Conclusion The incidence of ICU-AW is high.It is of great significancc to strengthen the treatment of infection in actively treating the primary diseases.