老年急性呼吸窘迫综合征患者临床特点及预后相关危险因素

发布时间：2018-06-29 10:08

  本文选题：急性呼吸窘迫综合征 + 　； 参考：《中国老年学杂志》2017年03期

【摘要】：目的探讨老年急性呼吸窘迫综合征(ARDS)患者临床特点及预后相关危险因素。方法 92例老年ARDS患者的临床资料,根据患者临床结局不同分为生存组与死亡组,多因素Logistic回归分析老年ARDS患者预后相关危险因素,并对出院患者进行随访跟踪,搜集其结局资料。结果 92例老年ARDS患者经积极治疗后生存50例,死亡42例,病死率45.65%。多因素Logistic回归分析发现,老年ARDS患者预后相关危险因素有急性生理与慢性健康(APACHE)Ⅱ评分(OR=3.248,P=0.014)、器官障碍数目(OR=3.410,P=0.013)、ARDS诱因(OR=2.728,P=0.045)及脓毒症严重程度(OR=3.523,P=0.009),住院时APACHEⅡ评分不同的患者出院后1~2年后良好结局率略有不同。结论临床上对于老年ARDS患者,尤其是肺源性ARDS患者,应关注APACHEⅡ评分,早期采取液体复苏及抗感染治疗脓毒症,并尽早做到全面的诊断和处理,防止多器官功能障碍综合征的发生。
[Abstract]:Objective to investigate the clinical characteristics and prognostic risk factors of elderly patients with acute respiratory distress syndrome (ARDS). Methods 92 elderly patients with ARDS were divided into survival group and death group according to their clinical outcomes. Multivariate logistic regression analysis was conducted to analyze the prognostic risk factors in elderly patients with ARDS and follow up the discharged patients. Collect information about the outcome. Results of 92 patients with ARDS, 50 survived, 42 died, and the mortality rate was 45.65. Multivariate logistic regression analysis showed that, The prognostic risk factors of elderly patients with ARDS were acute physiological and chronic health (Apache) 鈪，

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