重症感染患者的 ICU 治疗时间与影响因素初步研究.docVIP

精品论文 参考文献 重症感染患者的 ICU 治疗时间与影响因素初步研究 湖南省邵阳市中医医院 422000 【摘 要】目的：分析和研究重症感染患者的 ICU 治疗时间与影响因素。方法：我们将2014年3月—2016年3月重症感染患者217例做为研究对象，将其按ICU治疗时间不同分为两组：短时间组（治疗时间低于48小时）129例与长时间组（治疗时间超过48小时）88例。抽取护士2名，按表格填写方式对两组患者相关指标进行整理与归纳。结果：两组患者性别、年龄、感染部位、来源科室等相关指标无明显差异P＞0.05。长时间组患者乳酸水平监测值高于短时间组P＜0.05。长时间组患者弥散性血管内凝血、多器官功能障碍综合征发病率高于短时间组P＜0.05。长时间组患者慢性健康系统状况评分与序贯性器官衰竭评分均高于短时间组P＜0.05。结论：乳酸水平增高、弥散性血管内凝血与多器官功能障碍综合征发生例数增多、慢性健康系统状况评分及序贯性器官衰竭评分增加均是延长患者ICU治疗时间重要指标且呈正相关，临床医生应重视。 【关键词】重症感染；ICU；治疗时间；影响因素 Abstract Objective：ICU treatment time and influence factor analysis and study of patients with severe infection.Methods：We March 2014 - March 2016 217 cases of patients with severe infection as a research object，according to their ICU stay were divided into two groups：short-term group（treatment time of less than 48 hours）and 129 cases of long time groups（treatment time over 48 hours）88 cases.Extracting two nurses，according to Form ways the two groups to organize and related indicators summarized.Results：Two groups of gender，age，site of infection，sources and other related departments showed no significant difference Pgt; 0.05.Monitoring lactate levels were higher than the value of the patient for a long time short group P lt;0.05.Long group of patients with disseminated intravascular coagulation，multiple organ dysfunction syndrome high incidence of short-term group P lt;0.05.Long group of patients with chronic health condition score and sequential organ system failure rates are higher than short-term group P lt;0.05.Conclusion：The increased levels of lactic acid，disseminated intravascular coagulation and multiple organ dysfunction syndrome increased the number of cases，chronic health system health score and sequential organ failure assessment are increased in patients with prolonged ICU treatment time and an important indicator of a positive correlation，clinicians We should pay attention to. Key words severe infection；ICU；treatment time；influencing factors