危重症患者ICU获得性衰竭影响因素分析

Analysis of influencing factors of ICU acquired failure in critically ill patients

目的探讨危重症患者ICU获得性衰竭的高危因素。方法选择2015年12月至2019年1月我院收治的ICU患者125例,调查其ICU获得性衰竭发生率,采用多因素logistic回归分析危重症患者ICU获得性衰竭的高危因素。结果125例危重症患者发生ICU获得性衰竭50例,多因素logistic回归分析显示,机械通气>7 d、合并脓毒症、制动镇静是危重症患者ICU获得性衰竭的独立危险因素(P<0.05)。结论危重症患者ICU获得性衰竭发生率较高,机械通气时间>7 d、合并脓毒症、制动镇静为其发生的高危因素,应强化呼吸功能训练,早期活动,重视器官维护、液体管理,以降低ICU获得性衰竭的发病风险。

Objective To explore the high-risk factors of ICU acquired failure in critically ill patients.Methods To select 125 cases of ICU patients admitted to our hospital from December 2015 to January 2019,and investigate the incidence rate of ICU-acquired failure.Multivariate logistic regression was used to analyze the high-risk factors of ICU-acquired failure in critically ill patients.Results There were 50 cases of ICU acquired failure in 125 cases of critically ill patients.Multivariate logistic regression analysis showed that the time of mechanical ventilation>7 d,combined sepsis and immobilized sedation were the independent risk factors for ICU acquired failure in critically ill patients(P<0.05).Conclusion The incidence rate of ICU-acquired failure in critically ill patients was higher,the time of mechanical ventilation>7 d,combined sepsis and immobilized sedation were the high-risk factors for ICU acquired failure in critically ill patients.Medical staff should strengthened respiratory function training,early activities,organ maintenance and fluid management to reduce the risk of ICU-acquired failure.