流行性出血热患者死亡危险因素的调查分析  

Investigation and analysis of risk factors of death in patients with epidemic hemorrhagic fever

作　　者：杨凯 YANG Kai(Nanyang Central Hospital,Nanyang,473000,China)

机构地区：[1]南阳市中心医院感染性疾病科重症监护病区,河南省南阳市473000

出　　处：《护理实践与研究》2022年第2期200-203,共4页Nursing Practice and Research

摘　　要：目的探讨流行性出血热患者死亡的危险因素及预防措施。方法调查医院2010年1月—2019年10月470例流行性出血热患者的性别、年龄、体质量指数(BMI)、居住地、文化程度、职业、心肝肾病史、白细胞、尿蛋白、尿量、低蛋白血症、合并感染、脏器损害等情况。统计流行性出血热患者病死率,分析其危险因素。结果病死率为2.6%(12/470)。年龄、BMI、心肝肾病史、低蛋白血症、合并感染、脏器损害是流行性出血热患者死亡的独立危险因素(P<0.05)。结论流行性出血热患者预后受到多因素影响,年龄>60岁、BMI≥25、有心肝肾病史、有低蛋白血症、合并感染、脏器损害≥3个的患者死亡危险更高,需根据危险因素对患者加强防护,从而降低病死率。Objective To explore the risk factors and preventive measures for death of patients with epidemic hemorrhagic fever.Methods We selected 470 patients with epidemic hemorrhagic fever in the hospital from January 2010 to October 2019 to investigate their gender,age,body mass index(BMI),place of residence,education level,occupation,history of heart,liver and kidney disease,leucocyte,urine protein,urine output,hypoproteinemia,co-infection,and organ damage.Count the mortality of patients with epidemic hemorrhagic fever and analyzed its risk factors.Results The fatality rate was 2.6%(12/470).The age,BMI,history of heart,liver and kidney disease,hypoproteinemia,co-infection,and organ damage were the independent risk factors for death in patients with epidemic hemorrhagic fever(P<0.05).Conclusion The prognosis of patients with epidemic hemorrhagic fever was aff ected by multiple factors.Patients who were older than 60 years old,BMI≥25,have a history of heart,liver and kidney disease,have hypoproteinemia,co-infection,and organ damage≥3 were at higher risk of death.It was necessary to strengthen the protection of patients based on risk factors to reduce the mortality rate.

关 键 词：流行性出血热 死亡 危险因素 预防 预后 

分 类 号：R473.51[医药卫生—护理学]