危重儿伴胃肠功能障碍预后相关因素的Logistic回归分析  

Logistic Regression Analysis on Prognostic Factors of Gastrointestinal Dysfunction in Critically Ill Children

作　　者：周远茜[1] 经承学[1] 

机构地区：[1]广西玉林市第一人民医院儿内科,广西桂林537000

出　　处：《医学信息》2009年第10期2132-2135,共4页Journal of Medical Information

摘　　要：目的探讨危重儿伴胃肠功能障碍时对预后有影响的危险因素,为制定适宜的干预措施提供依据。方法回顾性分析135例伴胃肠功能障碍的危重儿,比较死亡组与存活组患儿的临床特点,采用非条件Logistic回归分析方法,对可能影响预后的危险因素进行多因素分析。结果①135例患儿,死亡52例,病死率38.5%;②多因素非条件Logistic回归分析显示,伴发休克或循环不良、肾功能障碍、危重病评分及肝脏、血液系统功能障碍为死亡的危险因素,其相对危险度依次为:16.19、14.11、13.86、6.75、6.12。结论危重儿伴胃肠功能障碍预后与多种因素有关,主要是伴发休克或循环不良、危重病评分及肾脏、肝脏及血液系统功能障碍。Objective To explore the prognostic factors of gastrointestinal dysfunction in children with critical illnesses.Methods A retrospective case control study was conducted on 135 critically ill children. Multivariate statistical analysis was performed by unconditioned Logistic regression. The odds rations （OR） and their 95% confidence intervals （ 95% CI ） were estimated.Results （1） 83 children were alive while 52 children were dead. The incidence of death was 38.5% . （2）By multivariate statistical analysis, five variables that independently predicted death were defined as follows： shock or circulation dysfunction （ OR= 16.19 ）, renal dysfunction （ OR=14.11 ）, critical illness scoring （OR=13.86）,hepatic dysfunction （ OR=6.75 ） and hematological dysfunction （ OR=6.12 ）. Conclusions More attention should be paid to deal with these risk factors and to improve survival rate of the children with gastrointestinal dysfunction.

关 键 词：危重儿 胃肠功能障碍 预后相关因素 

分 类 号：R587.1[医药卫生—内分泌] R725.7[医药卫生—内科学]