急诊重症患者机械通气脱机后发生创伤后应激障碍的危险因素分析  

Analysis of the Risk Factors of Post-traumatic Stress Disorder(PTSD)after Mechanical Ventilation in Critical Emergency Patients

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作  者:李艳[1] Li Yan(Shangqiu No.1 People's Hospital,Shangqiu 476100)

机构地区:[1]商丘市第一人民医院,商丘476100

出  处:《数理医药学杂志》2022年第1期150-153,共4页Journal of Mathematical Medicine

摘  要:目的:分析急诊重症患者于机械通气脱机后发生创伤后应激障碍(PTSD)的危险因素。方法:回顾性选择某院急诊室收治的160例重症患者为研究对象,统计患者机械通气脱机后PTSD的发生率,并以患者发生PTSD为因变量,以可能造成PTSD的相关因素(患者基线资料)为自变量,分析PTSD发生的危险因素。结果:160例患者机械通气脱机后共50例患者发生PTSD,PTSD发生率为31.25%(50/160)。将160例患者分为PTSD组(n=50)和非PTSD组(n=100),PTSD组合并基础疾病者比例、机械通气时间>7d者比例、镇静效果差者比例均高于非PTSD组(P<0.05)。PTSD组患者APACHE-Ⅱ评分高于非PTSD组(P<0.05),血清Cor、5-HT、INF-γ均高于非PTSD组(P<0.05)。结论:合并基础疾病、机械通气时间超过7d、APACHE-Ⅱ评分高、镇静效果不佳及血清Cor、5-HT、INF-γ升高是急诊重症患者机械通气脱机后发生PTSD的重要危险因素。Objective:To analyze the risk factors of post-traumatic stress disorder(PTSD)in critical emergency patients after mechanical ventilation.Methods:160 cases of severe patients in emergency department of a hospital were retrospectively selected as the subjects.The incidence of PTSD after mechanical ventilation was analyzed,and taking the occurrence of PTSD as the dependent variable and the related factors that may cause PTSD(patient baseline data)as the independent variable,the risk factors of PTSD were analyzed.Results:50 patients developed PTSD after mechanical ventilation in 160 patients,the incidence of PTSD was 31.25%(50/160).160 patients were divided into PTSD group(n=50)and non-PTSD group(n=100),the proportion of PTSD combined with underlying diseases,mechanical ventilation time>7 days,the proportion of poor sedation effect in PTSD group were higher than that of non-PTSD group(P<0.05).The APACHE-Ⅱscore in PTSD group was higher than that in non-PTSD group(P<0.05),and the levels of Cor,5-HT and INF-γin PTSD group were higher than those in non-PTSD group(P<0.05).Conclusion:The important risk factors for PTSD after mechanical ventilation in critical emergency patients were complicated with underlying diseases,mechanical ventilation time over 7 days,high APACHE-Ⅱscore,poor sedation effect and elevated serum Cor,5-HT and INF-γ.

关 键 词:机械通气 急诊重症 脱机 创伤后应激障碍 危险因素 

分 类 号:R749.5[医药卫生—神经病学与精神病学]

 

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