影响ICU重症感染患者机械通气治疗时间的危险因素探究

Study on the Risk Factors Affecting the Duration of Mechanical Ventilation Treatment in Patients with Severe ICU Infection

目的:分析影响ICU重症感染患者机械通气治疗时间的危险因素。方法:选择从2017年2月~2019年3月于本院进行ICU治疗的重症感染患者100例,依照患者的治疗时间分为两组,其中前50患者为N组,后50例患者为M组。对比N组与M组患者的各项指标、危险因素、时间因素。结果:通过数据可知,N组患者的慢性病史与感染部位同M组的患者慢性病史与感染部位并无显著不同,二者对比差距较小,不具有统计学意义(P>0.05)。通过数据可知,N组患者的DIC、MODS发生率、HR、乳酸水平、APACHE-Ⅱ评分、SOFA评分明显低于M组患者,二者对比差距较大,具有统计学意义(P<0.05)。分析影响患者ICU治疗时间的因素发现:APACHE-Ⅱ评分、SOFA评分、乳酸水平、MODS、DIC皆是影响患者ICU治疗时间的因素。结论:DIC、MODS发生率、HR、乳酸水平、APACHE-Ⅱ评分、SOFA评分为影响重症感染患者ICU治疗时间的危险因素。

Objective:To analyze the risk factors that affect the duration of mechanical ventilation treatment in patients with severe ICU infection.Methods:100 patients with severe infection who were treated with ICU in our hospital from February 2017 to March 2019 were selected and divided into two groups according to the treatment time of the patients.The first 50 patients were group N and the last 50 patients were M.group.The indexes,risk factors,and time factors of patients in N group and M group were compared.Results:According to the data,the chronic medical history and infection site of patients in group N were not significantly different from the chronic medical history and infection site of patients in group M.The difference between the two was small and not statistically significant(P>0.05).From the data,it can be seen that the incidence of DIC,MODS,HR,lactic acid,APACHE-Ⅱscore,and SOFA score of patients in group N were significantly lower than those in group M.The difference between the two was significant and statistically significant(P<0.05).Analysis of the factors affecting the ICU treatment time of patients found that:APACHE-Ⅱscore,SOFA score,lactic acid level,MODS,DIC are all factors that affect the ICU treatment time of patients.Conclusion:The incidence of DIC,MODS,HR,lactic acid level,APACHE-Ⅱscore,and SOFA score are risk factors that affect the duration of ICU treatment in patients with severe infection.