清远市中医院2017~2018年重症监护病房住院病例统计分析

Statistical analysis of inpatients in intensive care unit of qingyuan traditional chinese medicine hospital from 2017 to 2018

目的 对清远市中医院2017~2018年重症监护病房(ICU)住院病例进行统计分析.方法 回顾性分析2017年1月~2018年12月我院ICU收治的150例住院患者的临床资料,对患者来源、疾病构成及治疗转归等综合情况进行统计分析.结果 我院ICU住院病例主要来源于重症医学科,占50.00%;呼吸衰竭、中毒、MODS、外科术后、复合外伤占据ICU住院病例前五位,占64.00%;ICU住院患者治疗后,痊愈/好转出院共53例,占35.33%,好转转科共32例,占21.33%,死亡共24例,占16.00%,其中年龄≥81岁的死亡率最高,占45.83%,其余各年龄组死亡率比较差异无统计学意义(P>0.05).结论 ?ICU收治病种复杂,且患者存在多器官系统问题,病情危重,病死率较高,故临床应做好对危及患者救治工作.

Objective To analyze the inpatients of intensive care unit(ICU)in Qingyuan Traditional Chinese Medicine Hospital from 2017 to 2018.Methods The clinical data of 150 inpatients in ICU of our hospital from January 2017 to December 2018 were analyzed retrospectively,and the general situation of patient source,disease composition and treatment outcome were analyzed.Results The patients of ICU in our hospital mainly came from the department of critical medicine,accounting for 50.00%;respiratory failure,poisoning,multiple organ dysfunction syndrome(MODS),post-surgery and complex trauma were the top five diseases in ICU,accounting for 64.00%;after treatment,53 cases were cured/improved,accounting for 35.33%;32 cases were improved and transferred,accounting for 21.33%;24 cases were dead,accounting for 16.00%,among which aged≥81 years old accounted for the highest rate(45.83%),and there was no significant difference in mortality among the other age groups(P>0.05).Conclusion The diseases in ICU are complex,multiple organ system problems,critical condition,and high mortality are always involved,thus rescue work regarding critical patients is necessary.