机械通气患者院内病死危险因素分析  

Risk factor analysis for in-hospital death of mechanical ventilation patients

作　　者：陈瑶[1,2] 耿玉秀[1] 温宇[1] 崇巍[1] 

机构地区：[1]中国医科大学附属第一医院急诊科,在读研究生110001 [2]沈阳市和平区北市社区卫生服务中心

出　　处：《辽宁医学杂志》2014年第1期1-3,共3页Medical Journal of Liaoning

摘　　要：目的探讨急诊监护室(EICU)机械通气患者的院内病死危险因素。方法分析中国医科大学附属第一医院2011年10月EICU 78例机械通气患者的临床资料,比较生存组和死亡组的入院首次检查的临床数据,采用Logistic分析EICU死亡的危险因素。结果 EICU机械通气院内病死患者的入院首次检查的血红蛋白、白蛋白显著低于存活患者,而血糖、动脉血乳酸浓度和序贯器官衰竭(SOFA)评分显著高于存活患者(P<0.05)。当SOFA评分≥11或者血糖≥9.35mmol/L时,机械通气患者预后不佳。结论入院首次检查的血糖、白蛋白以及SOFA评分是EICU机械通气患者院内病死的独立危险因素。SOFA评分≥11分,血糖≥9.35mmol/L者预后不良。Objective To study risk factors of mortality in patients treated with mechanical ventilation in EICU. Method Collection of clinical data which from 78 patients treated with mechanical ventilation in EICU of first hospital of china medical university in October 2011. Comparison of initial clinical parameters between survi vors and nonsurvivors, Logistic analysis was applied to assess the risk factors of death in patients treated with me chanical ventilation. Result The initial hemoglobin and albumin in nonsurvivors were significantly lower than survi vors, but blood glucose, arterial lactate and SOFA score were significantly higher than survivors（ P 〈0.05）. While SOFA or blood glucose 9.35 mmol/L, that indicated poor prognosis in patients who was given mechanical ventilation in EICU. Conclusions The initial checking of blood glucose, albumin and SOFA score were the inde pendent risk factor of death in patients with mechanical ventilation. Patients whose SOFA score or blood glu cose 〉9.35 mmol/L may be poor prognosis.

关 键 词：机械通气序贯器官衰竭评分 危险因素 

分 类 号：R459.7[医药卫生—急诊医学]