[1]李玲.重症医学监护室亚综合征谵妄发生的相关因素分析[J].中国实用乡村医生杂志,2020,27(05):60-62.[doi:10.3969/j.issn.1672-7185.2020.05.021 ]
 LI Ling.Analysis of the Related Factors of Subsyndrome Delirium in ICU[J].Chinese Practical Journal of Rural Doctor,2020,27(05):60-62.[doi:10.3969/j.issn.1672-7185.2020.05.021 ]
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重症医学监护室亚综合征谵妄发生的相关因素分析()
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《中国实用乡村医生杂志》[ISSN:1672-7185/CN:21-1502/R]

卷:
27
期数:
2020年05期
页码:
60-62
栏目:
临床研究
出版日期:
2020-05-15

文章信息/Info

Title:
Analysis of the Related Factors of Subsyndrome Delirium in ICU
文章编号:
 1672-7185(2020)05-0060-03 
作者:
李玲
作者单位:435002 湖北 黄石,黄石爱康医院重症医学科
Author(s):
LI Ling
(Department of Critical Medicine, Huangshi Aikang Hospital, Huangshi 435002, Hubei Province, China)
关键词:
 亚综合征谵妄重症医学监护室因素
Keywords:
 Subsyndrome Delirium Intensive Care Unit Factors
分类号:
 R47 
DOI:
10.3969/j.issn.1672-7185.2020.05.021
文献标志码:
 A
摘要:
 目的 探讨重症医学监护室(ICU)发生亚综合征谵妄的相关因素。方法 选择2018年6月—2019年6月黄石爱康医院ICU出现亚综合征谵妄的79例患者作为研究组,选择同期ICU未出现亚综合征谵妄的238例患者作为对照组,比较两组基线资料、基础疾病、一般状况、主要实验室检查结果和入住ICU方式。结果 两组年龄、文化程度、APACHEⅡ评分、简易精神状态检查表评分,以及使用机械通气、使用约束带、低蛋白血症和低钠血症的比例差异均有统计学意义(P<0.05)。多因素Logistic回归分析显示,低简易精神状态检查表评分、使用约束带和低蛋白血症与亚综合征谵妄的发生密切相关( P<0.05)。结论 对于ICU患者,简易精神状态检查表评分低、存在低蛋白血症及使用约束带的情况下易出现亚综合征谵妄。
Abstract:
Objective To explore the related factors of subsyndrome delirium (SSD) in ICU. Methods A total of 79 patients with SSD in ICU of Huangshi Aikang Hospital were selected as the study group from June 2018 to June 2019, and 238 patients without SSD in ICU at the same term were selected as the control group. The baseline data, basic diseases, general conditions, main laboratory results and ICU mode of the two groups were compared. Results There were significant differences in age, education level, ApacheⅡ score, MMSE score, mechanical ventilation, restraint band, hypoproteinemia and hyponatremia between the two groups (P < 0.05). Multivariate logistic regression analysis showed that MMSE score is low, restraint band and hypoproteinemia were closely related to the occurrence of SSD (P < 0.05). Conclusion SSD is easy to occur when MMSE score is low, hypoproteinemia exists and restraint band is used for patients in ICU.

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期:2019-11-26)

更新日期/Last Update: 2020-06-16