老年术后患者脱机困难的原因分析

发布时间：2018-06-24 02:25

  本文选题：老年 + 术后　； 参考：《南京医科大学学报(自然科学版)》2017年08期

【摘要】：目的 :探讨老年术后患者脱机困难的相关因素。方法 :收集92例术后入住南京医科大学第一附属医院老年ICU的患者,均在达到撤机标准后进行撤机,根据48 h内撤机成功与否分为成功组与失败组。采用回顾性方法分析相关信息,筛选出影响撤机的相关因素,应用多因素非条件Logistic回归进行回归分析。结果:92例术后呼吸机辅助呼吸的老年患者中,24例48h内撤机失败,发生率26.1%。失败组患者APACHE-Ⅱ评分、吸气压、氧分压、吸氧浓度均高于成功组,氧合指数低于成功组,行急诊手术、脑外科术后、住院期间多重耐药菌感染与成功组比较差异显著(P0.05)。脑外科术后、住院期间多重耐药菌感染、APACHE-Ⅱ评分高、吸气压高是撤机失败的独立危险因素(P0.05)。结论 :脑外科术后、住院期间多重耐药菌感染、APACHE-Ⅱ评分高、吸气压高是老年术后患者撤机困难的独立危险因素。
[Abstract]:Objective: to explore the related factors of dysphagia in elderly patients after operation. Methods: 92 patients who were admitted to the ICU of the first affiliated Hospital of Nanjing Medical University after operation were divided into success group and failure group according to the success or failure of weaning within 48 hours. The relevant information was analyzed by retrospective method, and the factors affecting weaning were screened out, and the regression analysis was carried out by multivariate unconditional logistic regression. Results 24 of 92 elderly patients with ventilator assisted breathing failed within 48 hours and the incidence rate was 26.1. APACHE- 鈪，

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