ICU后综合征发生的相关危险因素及其干预措施分析

Analysis of Related Risk Factors and Intervention Measures of Post-ICU Syndrome

目的:探讨ICU后综合征(PICS)发生的相关危险因素及其干预措施。方法:选取2018年2月—2020年5月期间东莞市厚街医院ICU收治的84例患者为研究对象,按照是否发生PICS分为PICS组32例和非PICS组52例,分析PICS发生的相关危险因素。结果:多因素logistic回归分析显示,年龄>60岁、家庭月收入≤2000元、经历病友死亡、入住ICU时间>10 d、睡眠障碍、手术治疗、机械通气是PICS发生的独立危险因素(P<0.05且OR≥1)。结论:PICS发生与多种因素密切相关,临床需根据各危险因素制定针对性的防治措施,以避免PICS的发生。

Objective:To explore the related risk factors and intervention measures of post-ICU syndrome(PICS).Methods:A total of 84 patients admitted to the hospital from February 2018 to May 2020 were selected as the research objects.According to whether PICS occurred,they were divided into 32 cases in the PICS group and 52 cases in the non-PICS group.The relevant risk factors for PICS were analyzed.Results:Multivariate logistic regression analysis showed that age>60 years old,family monthly income≤2000 yuan,death of patients,stay in ICU>10 days,sleep disturbance,surgical treatment,and mechanical ventilation were independent risk factors for the occurrence of PICS(P<0.05 and OR≥1).Conclusion:The occurrence of PICS is closely related to a variety of factors.It is necessary to formulate targeted prevention and treatment measures based on various risk factors in clinical practice to avoid the occurrence of PICS.