危重患者腹泻发生率及其影响因素的研究  

Study on incidence of diarrhea in critical patients and its influencing factors

作　　者：胡琼华[1] 温敏[1] 王静[1] 徐佳卿[1] 钟建[1] 黄琴[1] 

机构地区：[1]北京大学深圳医院ICU,深圳518036

出　　处：《中华现代护理杂志》2010年第16期1883-1885,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨腹泻在危重患者中的发生率、相关影响因素以及对预后的影响。方法选择ICU收治患者369例，将发生腹泻的89例患者列入病例组，未发生腹泻的280例患者列入对照组，采用统一的调查表收集患者的临床资料，采用非条件togistic回归进行单因素和多因素分析处理资料。结果入选病例的腹泻发生率为24．12％（89／369）。经单因素Logistic回归分析，年龄、APAc}Ⅱ叫I评分、住ICU时间、长期使用抗生素、联合使用抗生素、胃肠动力药为发生腹泻的影响因素。经多因素Logistic回归分析，APACHEⅡ评分、年龄、住ICU时间为腹泻的独立危险因素。病例组病死率为42．70％，对照组为15．00％，差异有统计学意义（P〈0．05）。结论危重患者的腹泻发生率较高，年龄、APAcHEⅡ评分、住ICU时间、抗生素和胃肠动力药的使用为发生腹泻的影响因素．腹泻可使危重患者病死率增加。Objective To explore the incidence of diarrhea in critical patients and to analyze influencing factors of its prognosis. Methods A total of 369 patients in ICU were divided into two groups：89 patients with diarrhea symptom in the study group and 280 patients without diarrhea symptom in the control group. Data were collected by using questionnaire and were analyzed by using non-conditional logistic regression. Results The incidence of diarrhea in this study was 24. 11%. Through a single-factor non- conditional logistic regression showed that age, APACHEII score, length of stay at ICU, long term usage of antibiotic and gastric motility stimulant combined with antibiotic were influencing factors of diarrhea. Furthermore, through a multi-factor non-conditional logistic regression showed that APACHEII score, age, length of stay at ICU were the independent risk factors of diarrhea. Fatality was 42.70% of study group higher than 15% of control group. Conclusions Incidence of critical patients is high. Age, APACHII score, length of stay at ICU, gastric motility stimulant combined with antibiotic were influencing factors of diarrhea. Diarrhea will increase fatality of critical patients.

关 键 词：危重患者 腹泻 危险因素 

分 类 号：R473[医药卫生—护理学]