老年重症感染患者ICU治疗时间及影响因素分析  

Analysis of Treatment Time and Influencing Factors of Intensive Care Unit in the Elderly Patients with Severe Infection

作　　者：王宝印[1] 高红霞 张平[2] 

机构地区：[1]山东省威海市立医院重症医学科,中国威海264200 [2]山东省青岛市市立医院重症医学科,中国青岛266011

出　　处：《国际老年医学杂志》2018年第1期37-39,共3页International Journal of Geriatrics

摘　　要：目的 分析老年重症感染患者ICU治疗时间状况并探讨其影响因素.方法 采用自制表格按照ICU治疗时间将78例老年患者分为≤48 h组和〉48 h组分别收集资料进行对比分析.结果 ICU治疗时间≤48 h组的慢病史构成比（53.8％）低于〉48 h组（86.5％）,MAP、 氧合指数高于〉48 h组,乳酸水平、APACHE-Ⅱ评分、SOFA评分、DIC发病率、MODS发病率均低于〉48 h组,两组比较差异有统计学意义（P〈0.05）.氧合指数、 乳酸水平、APACHE-II评分、SOFA评分、DIC、MODS是影响老年患者ICU治疗时间的重要因素.结论 氧合指数是影响老年重症感染患者ICU治疗时间的有利因素,乳酸水平、APACHE-II评分、SOFA评分、DIC、MODS是危险因素.Objective To analyze the treatment time and influencing factors of intensive care unit （ICU） in the elderly patients with severe infection. Methods By using self - made questionnaire and according to the ICU treatment time, 78 elderly patients were divided into ≤48 h group and 〉48 h group and the data was collected and analyzed respectively. Results The proportion of the patients with chronic disease in ≤48 h group （53.8%） was lower than that in 〉48 h group （86. 5% ） ; MAP and oxygenation index in ≤48 h group were higher than those in 〉48 h group, Lactate level, APACHE - Ⅱ score, SOFA score, DIC morbidity and MODS morbidity in ≤48 h group were lower than those in 〉48 h group. There was significant difference between the two groups （ P 〈 0. 05）. Oxygenation index, lactate levels, APACHE - Ⅱ score, SOFA score, DIC and MODS were the important factors of ICU treatment time in the elderly patients with severe infection. Conclusion Oxygenation index is a favorable factor. The lactate level, APACHE -Ⅱ score, SOFA score, DIC and MODS are the risk factors for ICU treatment time in elderly patients with severe infection.

关 键 词：老年人 重症患者 ICU治疗时间 影响因素 

分 类 号：R459.7[医药卫生—急诊医学]