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目的:探讨分析该疾病患者短期预后的相关影响因素。方法:对120例老年重症肺炎机械通气患者的临床资料进行回顾性分析,采用Logistic回归分析法,对老年重症肺炎患者的机械通气后的病死率与并发症的相关因素进行分析。结果:病死率为29.17%,经回归分析后,病死率与心力衰竭、电解质紊乱与酸碱失衡、肝功能衰竭以及呼吸衰竭等因素有关(P<0.05);而与循环衰竭、胃肠损害(消化道出血异常)以及气胸等因素无关(P>0.05);影响患者短期预后的独立预测因素包括:高急性生理与慢性健康评分(APACHEⅡ)、高急性生理学评分(APS)、低格拉斯哥昏迷(GCS)评分以及低白蛋白水平。结论:老年重症肺炎患者机械通气后,能够引起心力衰竭等症状,影响患者短期预后情况的重要因素。
Objective: To explore the related factors that affect the short-term prognosis of patients with this disease. Methods: The clinical data of 120 elderly patients with severe pneumonia were retrospectively analyzed. Logistic regression analysis was used to analyze the mortality and complications of elderly patients with severe pneumonia after mechanical ventilation. Results: The case fatality rate was 29.17%. After regression analysis, the case fatality rate was related to heart failure, electrolyte imbalance and acid-base imbalance, liver failure and respiratory failure (P <0.05), but not to circulatory failure, gastrointestinal damage (P> 0.05). Independent predictors of short-term prognosis included APACHE II, APS, GCS (low-grade and low-grade) ) Score and low albumin levels. CONCLUSION: Mechanical ventilation in elderly patients with severe pneumonia can cause heart failure and other symptoms, affecting the short-term prognosis of patients with an important factor.