探讨新型冠状病毒肺炎患者病情危重的影响因素  

The impact factors for deterioration in patients with corona virus disease 2019

作　　者：李白非[1] 周宇 左红[1] 杨霞[2] 郑莉 李卉[1] LI Baifei;ZHOU Yu;ZUO Hong;YANG Xia;ZHENG Li;LI Hui(Department of Nephrology,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China;The Central Hospital of Xiaogan,Xiaogan,Hubei 432100,China;The First Hospital of Wuhan,Wuhan,Hubei 430022,China)

机构地区：[1]重庆医科大学附属第一医院肾内科,400016 [2]湖北省孝感市中心医院,432100 [3]湖北省武汉市第一医院,430022

出　　处：《重庆医学》2021年第19期3314-3317,3321,共5页Chongqing medicine

基　　金：重庆市卫生适宜技术推广资助项目(2017jstg22)。

摘　　要：目的探讨新型冠状病毒肺炎(COVID-19)患者病情危重的影响因素。方法选取2020年1-3月湖北省2家指定医院确诊的COVID-19住院患者88例。收集患者入院时的人口统计学资料、实验室指标及评定患者日常生活活动(ADL)能力的巴塞尔指数(BI)等数据,运用SPSS17.0软件进行分析。结果88例患者中男45例,女43例;危重症12例(13.6%),非危重症76例(86.4%);年龄21~91岁,平均(60.58±15.24)岁。结局为死亡3例(3.4%),转院/科5例(5.6%),出院80例(91.0%),患者入院时的BI评分、冠状动脉粥样硬化性心脏病(简称冠心病)史对病情有影响(OR=0.949、18.007,均P<0.05)。结论COVID-19患者入院时的BI评分是病情加重的危险因素,与无冠心病比较,有冠心病的COVID-19患者更难康复。Objective To explore the influencing factors of deterioration in patients with corona virus disease 2019(COVID-19).Methods A retrospective study was done with 88 inpatients of COVID-19 diagnosed in two designated hospitals in Hubei Province from January to March 2020.The data of the demographic,laboratory indicators and Barthel Index(BI)to assess the patients′daily living activities(ADL)were collected at admission.SPSS17.0 software was applied for the statistical analysis.Results There were 45 males and 43 females in 88 patients.There were 12 critically ill patients(13.6%)and 76 non-critically ill patients(86.4%).The age ranged from 21 to 91 years,with an average of(60.58±15.24)years old.The outcome was 3 cases of deaths(3.4%),5 cases of transferred to hospital/department(5.6%)and 80 cases of discharged(91.0%).The BI at admission and the history of coronary atherosclerotic heart disease had influence on the condition(OR=0.949,18.007;both P<0.05).Conclusion BI at admission is an influencing factor of deterioration in patients with COVID-19.Compared with patients without coronary heart disease,patients with coronary heart disease may be more difficult to recover from the disease.

关 键 词：新型冠状病毒 巴塞尔指数 冠状动脉粥样硬化性心脏病 日常生活活动能力 影响因素 

分 类 号：R473.5[医药卫生—护理学]