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目的分析慢重症(CCI)患者在ICU的滞留和预后情况。方法回顾分析2006年1月-2015年6月江苏省中医院ICU收治的95例CCI患者临床资料,统计滞留时间和病死率,以及与性别、年龄的关系,比较不同滞留时间的CCI患者病死率,绘制频率直方图和存活曲线。结果 95例CCI患者总滞留时间22677d,平均(238.71±318.99)d,滞留少于3个月44例(46.3%),3~6个月25例(26.3%),滞留超过半年26/95例(27.4%),却占总滞留天数的74.8%(16972/22677);死亡53例,总病死率55.79%(53/95),其中男性36.84%,女性18.95%,滞留时间分别(200.39±53.99)d和(307.44±106.17)d,差异有统计学意义(P<0.05);以60岁以上CCI患者为主(89.5%),>70岁的CCI患者病死率为61.64%。结论大部分CCI患者滞留ICU时间不超过半年,约1/4的CCI消耗了约3/4的ICU住院时间,以60岁以上的老年患者为主,老年女性滞留更久;大部分CCI患者在半年内死亡,>70岁的患者病死率较高,女性病死率相对较低。滞留超过1年的CCI患者,病死率降低,这意味着CCI患者将逐年增多,应该研究CCI患者的临床特点和规律,提高医疗效率。
Objective To analyze the retention and prognosis of patients with chronic severe (CCI) in the ICU. Methods The clinical data of 95 patients with CCI admitted to ICU of Jiangsu Provincial Hospital of Traditional Chinese Medicine from January 2006 to June 2015 were retrospectively analyzed. The relationship between the clinical data and the gender and age was analyzed. The mortality rates of CCI patients with different residence time , Plot frequency histogram and survival curve. Results 95 cases of CCI patients had a total retention time of 22677d (mean, 238.71 ± 318.99) d, 44 cases (46.3%) with less than 3 months of stay, 25 cases (26.3%) within 3 ~ 6 months and 26/95 cases (27.4%), accounting for 74.8% (16972/22677) of the total days of stay; 53 cases of death and a total case fatality rate of 55.79% (53/95), including 36.84% of males and 18.95% of females, with retention times of 200.39 ± 53.99 ) and (307.44 ± 106.17) days, respectively. The difference was statistically significant (P <0.05). The prevalence of CCI in patients over 60 years old was 89.5%. The mortality rate of CCI patients> 70 years old was 61.64%. Conclusion Most ICI patients stay in ICU for no more than half a year. About 1/4 of CCI patients consume about 3/4 ICU hospital stay, mainly in elderly patients over 60 years old, while older women stay for longer. Most CCI patients Death within six months,> 70 years old patients higher mortality, female mortality is relatively low. In CCI patients with more than one year of stay, the case fatality rate is reduced, which means the number of patients with CCI will increase year by year. The clinical features and regularity of CCI patients should be studied to improve the medical efficiency.