文章摘要
吴晓弟.脓毒症预后的临床特点及其相关危险因素调查分析[J].中国医药导刊,2017,19(11):1114-1116.
脓毒症预后的临床特点及其相关危险因素调查分析
Investigation Analysis on Correlated Risk Factors and Clinical Features of Prognosis of Sepsis
投稿时间:2017-03-04  修订日期:2017-08-28
DOI:
中文关键词: 脓毒症  预后  临床特点  危险因素
英文关键词: Sepsis  Prognosis  Clinical features  Risk factors
基金项目:佛山市卫生和计划生育局医学科研课题(项目编号:2015134;项目名称:不同治疗剂量连续性肾脏替代治疗对严重脓毒症患者血小板的影响)
作者单位E-mail
吴晓弟 佛山市禅城区中心医院 wanghjst@126.com 
摘要点击次数: 242
全文下载次数: 2
中文摘要:
      目的: 探讨脓毒症预后的临床特点及其相关危险因素,为临床改善脓毒症预后提供依据。方法:回顾性收集115例脓毒症患者的临床资料,依据预后情况分为死亡组(n=40)和存活组(n=75),采用病例对照研究的方法,应用单因素和多因素法来分析影响脓毒症预后死亡的相关危险因素。结果: 脓毒症预后死亡率为34.8%(40/115);多因素分析结果显示年龄(OR=7.071)、并发急性肾损伤(OR=4.175)、器官衰竭数目(OR=2.440)、尿素氮(OR=3.080)、C反应蛋白(OR=1.859)、APACHEⅡ评分(OR=5.256)等因素均为脓毒症预后的危险因素。结论: 脓毒症预后死亡率较高,其高危因素包括高龄、并发急性肾损伤、多器官功能衰竭、尿素氮和C反应蛋白升高、APACHEⅡ评分高等,应针对这些高危因素采取必要的干预措施。
英文摘要:
      Objective:To explore clinical features and correlated risk factors of prognosis of sepsis patients, then provide basis for improving prognosis of sepsis. Methods:Retrospectively collecting 115 cases data of sepsis patients, these cases were divided into death group(n=40) and survival group(n=75) according to the prognosis. With Case-Control study method, the correlated risk factors of prognosis death of sepsis were analyzed by single and multiple factors analysis methods. Results:The death rate of sepsis prognosis was 34.8%(40/115). Multiple factors analysis result showed that the factors of age(OR=7.071), complication of acute kidney injury(OR=4.175), the numbers of organ failure(OR=2.440), urea nitrogen(OR=3.080), C reactive protein(OR=1.859) and APACHEⅡ score(OR=5.256) were the risk factors of sepsis prognosis. Conclusion:The death rate of sepsis prognosis lies in a high rate. The high risk factors of sepsis prognosis include high age, complication of acute kidney injury, multiple organ failure, urea nitrogen and C reactive protein increased, high APACHEⅡ score. Intervention measures should be adopted to aim directly at these high risk factors.
查看全文   查看/发表评论  下载PDF阅读器