摘要
目的:探讨重症监护室(ICU)收治患者医院感染导致死亡相关危险因素。方法:收集我院ICU收治医院感染患者225例临床资料进行回顾性分析,根据患者治疗结局分为死亡组和非死亡组,将两组患者一般临床资料采用统计学软件进行单因素和多因素Logistic回归分析。结果:225例患者经积极治疗后死亡82例,病死率为36.44%。单因素分析得出,年龄、MODS、侵袭性操作、低蛋白血症、ICU住院时间、感染泛耐菌在两组患者中比较,差异有统计学意义(P<0.05)。多因素分析得出,年龄、MODS、侵袭性操作、低蛋白血症、ICU住院时间、感染泛耐菌为影响ICU医院感染患者死亡相关危险因素。结论:影响ICU医院感染患者死亡危险因素较多,对合并有危险因素高危人群针对性实施干预和预防,对降低ICU医院感染患者病死率有重要临床意义。
Objective： To investigate related risk factors of hospital infection resulting in death of ICU patients. Methods： Clinical data of 225 cases of hospital infection patients in ICU were retrospectively analyzed. According to the outcomes of treatment,patients were divided intodeath group and non-death group. General clinical information of patients underwent Single factor and multifactor logistic regression analysis. Results： Of the 225 cases,82 died after positive treatment,accounting for 36.44%. Findings of single factor analysis showed there were statistical differences in ages,moods,invasive manipulation,hypoproteinemia,ICU stays and infections of panobacteria among patients between groups（ P〈0.05）;multifactor analysis indicated that the above-mentioned factors were the related risk factors resulting the death of hospital infections patients in ICU. Conclusion： Many factors will affect the death of hospital infections patients in ICU,so it is of great significance to take targeted intervention and prevention among those high-risk factor population so as to reduce the the death of hospital infections patients in ICU.
出处
《华夏医学》
CAS
2017年第5期61-64,共4页
Acta Medicinae Sinica
