短期机械通气和长期机械通气患者的临床特点与预后比较  

Comparison of clinical characteristics and prognosis between long-term mechanical ventilation and short-term mechanical ventilation

作　　者：张长城 王少芳[1] 贾民勇 ZHANG Chang-cheng;WANG Shao-fang;JIA Min-yong(Department of Respiratory and Critical Care Medicine,Anyang People's Hospital,Anyang,Henan 455000,China)

机构地区：[1]安阳市人民医院呼吸与危重症医学科,河南安阳455000

出　　处：《医药论坛杂志》2023年第19期87-90,共4页Journal of Medical Forum

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20210389)。

摘　　要：目的对比并分析住院长期机械通气(PMV)(≥4 d)和短期机械通气(STMV)(<4 d)患者的临床特征和治疗结局。方法应用回顾性队列研究方法,选取2019年1月—2021年6月安阳市人民医院收治的危重患者1062例,根据患者入院后机械通气(MV)时长将其分为长期MV(PMV)组和STMV组。对比分析两组患者的临床特点和生存状况。结果1062例危重患者中,PMV393例,占37.01%。PMV是患者住院期间死亡、透析、严重脓毒症、感染性休克及造成住院期间透析时间较长的危险影响因素(OR>1,P<0.05)。结论超过1/3的MV患者通气时长超过4 d;PMV患者的医院并发症及预后差于STMV患者。Objective To compare and analyze the clinical characteristics and treatment outcomes of hospitalized patients with prolonged mechanical ventilation(PMV)(≥4 d)and short-term mechanical ventilation(STMV)(<4 d).Methods Using retrospective cohort study,1062 critically ill patients admitted to Anyang People's Hospital from Janu⁃ary 2019 to June 2021 were selected and divided into long-term MV(PMV)group and STMV group according to the length of mechanical ventilation(MV)after admission.The clinical characteristics and survival status of the two groups were compared and analyzed.Results Among 1062 critically ill patients,there were 93 cases of pmv3,accounting for 37.01%.PMV was a risk factor for death,dialysis,severe sepsis,septic shock during hospitalization and long dialysis time during hospitalization(OR>1,P<0.05).Conclusion More than 1/3 of MV patients had ventilation for more than 4 days;The hospital complications and prognosis of PMV patients are worse than those of stmv patients.

关 键 词：机械通气 临床特点 预后 

分 类 号：R459.7[医药卫生—急诊医学]