神经内科重症监护患者ICU综合征发生的危险因素

Risk factors of ICU syndrome in neurologic intensive care patients

目的探讨神经内科重症监护患者ICU综合征发生的危险因素。方法选取河南省人民医院2017年10月至2019年2月神经内科重症监护患者110例,分为ICU综合征组(33例)和无ICU综合征组(77例)。比较两组的个人基本情况(性别、年龄、文化程度、收入情况及婚姻状况)、不良习惯情况(吸烟及饮酒情况)、医疗费用支付情况、治疗情况(住院时间及机械通气情况)及疾病情况(APACHEⅡ评分及睡眠障碍情况)。采用多因素Logistic回归分析神经内科重症监护患者ICU综合征发生的危险因素。结果两组的性别、婚姻状况、吸烟及饮酒情况差异无统计学意义;两组的年龄、文化程度、收入情况、医疗费用支付情况、住院时间、机械通气情况、APACHEⅡ评分及睡眠障碍情况比较,差异均有统计学意义(均P<0.05),多因素Logistic回归分析显示,年龄、文化程度、收入情况、医疗费用支付情况、住院时间、机械通气情况、APACHEⅡ评分及睡眠障碍均是神经内科重症监护患者ICU综合征发生的危险因素。结论神经内科重症监护患者ICU综合征发生的危险因素较多,可作为预防措施制定的参考依策略据。

Objective To investigate the risk factors of ICU syndrome in neurology intensive care patients.Methods A total of 110 neurological intensive care patients from October 2017 to February 2019 were selected and divided into ICU syndrome group(33 cases)and non-ICU syndrome group(77 cases).Basic information(gender,age,education,income and marital status),bad habits(smoking and drinking),medical expenses paid,treatment(length of hospital stay and mechanical ventilation)and diseases(APACHEⅡscores and sleep disorders)were compared between the two groups.Multivariate Logistic regression was used to analyze the risk factors of ICU syndrome in intensive care patients in neurology department.Results There were no significant differences in sex,marital status,smoking or drinking between the two groups.Age,education,income,medical expenses payment,length of hospital stay,mechanical ventilation,APACHEⅡscores and sleep disorders were compared between the two groups,and the differences were statistically sighificant(P<0.05).Multivariate Logistic regression analysis showed that age,education,income,medical expense payment,length of stay,mechanical ventilation,APACHEⅡscores and sleep disturbance were all risk factors for ICU syndrome in neurologic intensive care patients.Conclusions There are many risk factors for ICU syndrome in intensive care patients in neurology department,which can be used as a reference for the development of preventive measures.