论文部分内容阅读
目的:探讨容量超负荷(FO)在危重患者预后预测中的应用意义。方法:选取2014年1月-2015年1月本院重症监护室住院的患者共80例,观察FO水平的高低及患者病死率、机械通气时间以及治疗时间等预后指标之间的关系,同时与急性生理和慢性健康状况评分Ⅱ(APACHEII)评分进行研究分析。结果:统计结果显示,住院治疗期间80例患者中存活67例,死亡13例,病死率为16.3%。从指标之间的关系来看,APACHEII评分与FO水平密切相关,其中FO水平及APACHEII评分越高则患者病死率、机械通气时间以及治疗时间也随之上升。死亡患者APACHEII评分与FO显著高于存活患者,差异具有统计学意义(P<0.05)。结论:FO对危重患者具有重要意义,它对患者存活、机械通气时间以及治疗时间等均具有重要意义,临床上要加强监测和分析,进而为治疗提供参考和依据。
Objective: To investigate the significance of volume overload (FO) in predicting the prognosis of critically ill patients. Methods: A total of 80 hospitalized patients admitted to our intensive care unit from January 2014 to January 2015 were enrolled in this study. The relationship between the level of FO and the prognosis of patients with mortality, duration of mechanical ventilation, and duration of treatment were observed. Acute Physiology and Chronic Health Status Score Ⅱ (APACHEII) score for research and analysis. Results: The statistical results showed that 67 of 80 patients survived hospitalization, 13 died and the case fatality rate was 16.3%. From the relationship between indicators, APACHEII score and FO level is closely related to the FO level and APACHEII score higher patient mortality, duration of mechanical ventilation and treatment time also increased. APACHEII score and FO in patients with death were significantly higher than those in survivors, the difference was statistically significant (P <0.05). CONCLUSION: FO is of great importance to critically ill patients. It plays an important role in survival, duration of mechanical ventilation and treatment time. It is necessary to strengthen the monitoring and analysis clinically to provide a reference and basis for treatment.