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目的了解感染性休克患者的发病情况,为制定预防控制措施提供科学依据。方法对某医院2008年至2014年间主诊或其他诊断中带有感染性休克的出院病例进行回顾性调查分析,把患者分为治愈或好转组和死亡组,利用Excel、SPSS为工具,对出院病例首页进行统计分析。结果两组患者的年龄、住院次数、感染部位差异有统计学意义(P<0.05)。587例感染性休克患者中,75岁~89岁老年人占比最大(43.10%),病死率最高(56.13%);多次住院的患者病死率高(60.10%);呼吸道是主要的感染部位(50.77%),血液感染病死率最高(54.84%)。年龄和住院次数是感染性休克死亡的独立危险因素(P<0.05)。结论 75岁~89岁老年人和多次住院患者应给予密切监测。及时到位的抗感染、抗休克等对症治疗,积极的护理干预,可以降低病死率。
Objective To understand the incidence of septic shock in patients with prevention and control measures to provide a scientific basis. Methods A retrospective analysis was conducted on discharged patients with or without septic shock in a hospital from 2008 to 2014. The patients were divided into two groups: the cure group, the remission group and the death group. Using Excel and SPSS as tools, Case home page for statistical analysis. Results There were significant differences in age, number of hospitalizations and infection sites between the two groups (P <0.05). Of the 587 septic shock patients, 75 to 89 years old accounted for the largest proportion (43.10%) and the highest case fatality rate (56.13%). The patients with multiple hospitalizations had a high case fatality rate (60.10%) and the respiratory tract was the major site of infection (50.77%), the highest infection rate of blood infection (54.84%). Age and number of hospitalizations were independent risk factors for septic shock (P <0.05). Conclusion 75-89 year-olds and multiple hospitalized patients should be closely monitored. Timely place of anti-infection, anti-shock and other symptomatic treatment, active nursing intervention, can reduce mortality.