新冠疫情管理解封初期ICU患者治疗结局及其相关因素分析  

Analysis of treatment outcome and related factors of ICU patients at the initial stage of unsealing epidemic management in COVID-19

作　　者：曹荣荣 刘亚男 CAO Rongrong;LIU Yanan(Intensive Care Unit of Yancheng Third People′s Hospital,Yancheng,Jiangsu 224001,China)

机构地区：[1]盐城市第三人民医院重症监护室,江苏盐城224001

出　　处：《现代医药卫生》2023年第24期4163-4166,共4页Journal of Modern Medicine & Health

摘　　要：目的探索新型冠状病毒感染(新冠)疫情管理解封初期重症监护室(ICU)患者治疗结局及其影响因素。方法2022年12月至2023年2月收集新冠疫情管理解封初期267例ICU住院患者的临床资料。根据患者是否发生好转结局和死亡结局,将纳入患者分为好转结局组和死亡结局组,分析纳入患者的相关数据,探索新冠疫情管理解封初期ICU患者死亡结局发生的危险因素。结果共纳入患者172例,其中62例ICU患者新冠疫情管理解封初期发生了死亡结局,发生率为23.2%(62/267)。多因素logistic回归分析结果显示:ICU患者入科后意识障碍程度高、进行特殊治疗、高龄是ICU患者死亡结局的危险因素(P<0.05)。结论疫情管理解封初期ICU患者入科后意识障碍程度高、进行特殊治疗、高龄为ICU患者发生死亡的危险因素,若再次出现新冠疫情大规模感染时临床医护人员应对这部分患者加强重视,减少患者死亡结局的发生。Objective To explore the treatment outcomes and its influencing factors of patients in intensive care unit(ICU)innovel coronavirus(COVID-19)at the initial stage of epidemic management.Methods December 2022 to February 2023,the clinical data of 267 hospitalized ICU patients in the early stage of COVID-19 management unsealing were collected.According to whether the patients had improved outcome and death outcome,the included patients were divided into the improved outcome group and the death outcome group,and the relevant data of the included patients were analyzed to explore the risk factors of death outcome of ICU patients′death outcome in the early days of unsealing the epidemic management in COVID-19.Results A total of 172 patients were included,of which 62 ICU patients died in the early stage of COVID-19 management unsealing,with an incidence of 23.2%(62/267).The results of multi-factor logistic regression analysis showed that high degree of consciousness disorder,special treatment and old age were the risk factors for death in ICU patients(P<0.05).Conclusion The risk factors for death of ICU patients in the early stage of epidemic management unsealing are high degree of consciousness disturbance after admission,special treatment,and old age.If large-scale infection of COVID-19 occurs again,clinical medical staff should pay more attention to these patients to reduce the occurrence of death outcome.

关 键 词：ICU 重症监护室 新型冠状病毒 影响因素分析 死亡率 

分 类 号：R563[医药卫生—呼吸系统]