导致ICU重症患者治疗时间延长的危险因素分析

Analysis of risk factors leading to prolonged treatment time of ICU patie nts with severe illness

目的:探讨并分析导致重症监护室(ICU)的重症患者治疗时间延长的危险因素。方法:选择合江县人民医院ICU收治的180例重症患者作为研究对象。将其中在ICU接受治疗时间<48 h的患者设为对照组,将其中在ICU接受治疗时间≥48 h的患者设为观察组。对两组患者的病历资料进行对比研究,并对其相关指标进行单因素分析,总结导致ICU的重症患者治疗时间延长的危险因素。结果:与对照组患者相比,观察组患者的心率、平均动脉压、血乳酸的水平、序贯器官衰竭估计(SOFA)评分和急性生理与慢性健康评分表(APACHE-Ⅱ)的评分均更高,其中发生弥散性血管内凝血和多器官功能衰竭患者的占比均更高,差异有统计学意义(P<0.05)。对导致ICU重症患者治疗时间延长的相关因素进行单因素分析的结果显示,其心率加快、平均动脉压升高、血乳酸的水平升高、SOFA评分高、APACHEⅡ评分高、发生弥散性血管内凝血和多器官功能衰竭是导致其治疗时间延长的危险因素。结论:导致ICU重症患者治疗时间延长的危险因素主要是其心率加快、平均动脉压升高、血乳酸的水平升高、SOFA评分高、APACHEⅡ评分高、发生弥散性血管内凝血和多器官功能衰竭。

Objective:To explore and analyze the risk factors for prolonged treatment in ICU patients with critical illness.Methods:A total of 180 patients with severe illness in the ICU of Hejiang County People’s Hospital were selected as the research object.The patients receiving treatment in ICU for less than 48 h were set as the control group,and the patients receiving treatment in ICU for more than 48 h were set as the observation group.A comparative study was conducted on the medical records of the two groups of patients,and univariate analysis was conducted on the relevant indicators,so as to summarize the risk factors that lead to the prolonged treatment time of critical patients in ICU.Results:compared with the control group patients,the observation group of patients with heart rate,mean arterial pressure,the levels of blood lactic acid,the sequential organ failure estimation(SOFA)score and acute physiology and chronic health assessment(APACHE-Ⅱ)score were higher,which occur diffuse intravascular coagulation and multiple organ failure patients is higher than all,the difference was statistically significant(P<0.05).For extended their lead to ICU patients with severe treatment,according to the results of single factor analysis of related factors which the heart rate,mean arterial pressure,increased levels of blood lactic acid,SOFA score is high,the APACHEⅡhigh score,diffuse intravascular coagulation and multiple organ failure is a risk factor for extended their lead to its treatment.Conclusion:in ICU patients with severe a risk factor for prolonged treatment is mainly the heart rate,mean arterial pressure,increased levels of blood lactic acid,SOFA score is high,the APACHEⅡhigh score,diffuse intr avascular coagulation and multiple organ failure.