重症脑外伤术后患者发生ICU综合征的影响因素

Influencing factors of postoperative ICU syndrome in patients with severe brain injuries

目的:分析重症脑外伤术后患者发生重症监护室(ICU)综合征的影响因素。方法:回顾性分析2018年10月至2020年10月该院收治的180例重症脑外伤术后患者的临床资料。采用Logistic回归分析重症脑外伤术后患者发生ICU综合征的影响因素。结果:180例重症脑外伤术后患者发生ICU综合征52例,占28.89%;单因素分析结果显示,发生ICU综合征患者的性别、医疗支付情况、经济收入与未发生ICU综合征患者比较,差异均无统计学意义(P>0.05);发生ICU综合征患者年龄≥60岁、文化程度高中以下、气管插管、机械通气时间≥3 d、家庭成员关系一般、应用镇静药物、未接受健康宣教、同室病友死亡、APACHEⅡ评分>40分、重度环境压力源、低水平社会支持的占比均高于未发生ICU综合征患者,差异有统计学意义(P<0.05);Logistic回归分析结果显示,年龄≥60岁、文化程度高中以下、气管插管、机械通气时间≥3 d、家庭成员关系一般、应用镇静药物、未接受健康宣教、同室病友死亡、APACHEⅡ评分>40分、重度环境压力源、低水平社会支持均为影响重症脑外伤术后患者发生ICU综合征的危险因素(P<0.05)。结论:年龄≥60岁、文化程度高中以下、气管插管、机械通气时间≥3 d、家庭成员关系一般、应用镇静药物、未接受健康宣教、同室病友死亡、APACHEⅡ评分>40分、重度环境压力源、低水平社会支持均为影响重症脑外伤术后患者发生ICU综合征的危险因素。

Objective:To analyze influencing factors of intensive care unit(ICU)syndrome in patients with severe brain injuries.Methods:The clinical data of 180 patients with severe brain injuries admitted to our hospital from October 2018 to October 2020 were retrospectively analyzed.Logistic regression was used to analyze the influencing factors of ICU syndrome in these patients.Results:52 cases of ICU syndrome occurred in the 180 patients with severe brain injuries,accounting for 28.89%.Univariate analysis showed that there were no significant differences in gender,medical payment,economic income between the patients with ICU syndrome and those without ICU syndrome(P>0.05).The proportion of age≥60 years old,education level below high school,tracheal intubation,mechanical ventilation time≥3 days,general family relationship,application of sedative drugs,without health education,death of roommates,APACHE II score>40 points,severe environment stressors and lowlevel social support of the patients with ICU syndrome were higher than those without ICU syndrome,and the differences were statistically significant(P<0.05).Logistic regression analysis showed that age≥60 years old,education level below high school,tracheal intubation,mechanical ventilation time≥3 days,general family relationship,application of sedative drugs,without health education,death of roommates,APACHE II score>40 points,severe environment stressors and low-level social support were the risk factors for ICU syndrome in the patients with severe brain injuries(P<0.05).Conclusions:Age≥60 years old,education level below high school,tracheal intubation,mechanical ventilation time≥3 days,general family relationship,application of sedative drugs,without health education,death of roommates,APACHE II score>40 points,severe environment stressors and low-level social support are the risk factors for ICU syndrome in the patients with severe brain injuries.