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目的研究影响重症感染患者ICU治疗时间的危险因素。方法回顾性分析我院ICU近年收治重症感染患者52例,依据治疗时长分为≤2d组18例和>2d组34例,总结两组主要临床指标,分析其差异,并通过Logistic回归分析法总结ICU重症感染患者治疗时间的独立影响因素。结果两组在慢性病史、来源科室、感染部位等资料上无明显差异(P>0.05)。在APACHEII评分、SOFA评分、乳酸水平及MODS和DIC发病率上则差异明显(P<0.05)。结论APACHEII评分、SOFA评分、乳酸水平及MODS和DIC发病率是影响重症感染患者ICU治疗时长的主要因素,需要多加重视。
Objective To study the risk factors influencing ICU treatment time in patients with severe infections. Methods Retrospective analysis of 52 cases of severe infection in our hospital in recent years, according to the treatment time is divided into ≤ 2d group 18 cases and> 2d group 34 cases, the main clinical indicators of both groups were summarized, the differences were analyzed and analyzed by Logistic regression analysis ICU severe infection patients treated with independent factors. Results There were no significant differences between the two groups in the history of chronic diseases, department of origin, location of infection and other data (P> 0.05). There was significant difference in APACHEII score, SOFA score, lactate level and incidence of MODS and DIC (P <0.05). Conclusion The APACHEII score, SOFA score, lactic acid level and the incidence of MODS and DIC are the main factors influencing the duration of intensive care unit intensive care unit (ICU) treatment and require more attention.