本文選題：老年 + 術(shù)后�。� 參考：《南京醫(yī)科大學(xué)學(xué)報(bào)(自然科學(xué)版)》2017年08期

【摘要】：目的 :探討老年術(shù)后患者脫機(jī)困難的相關(guān)因素。方法 :收集92例術(shù)后入住南京醫(yī)科大學(xué)第一附屬醫(yī)院老年ICU的患者,均在達(dá)到撤機(jī)標(biāo)準(zhǔn)后進(jìn)行撤機(jī),根據(jù)48 h內(nèi)撤機(jī)成功與否分為成功組與失敗組。采用回顧性方法分析相關(guān)信息,篩選出影響撤機(jī)的相關(guān)因素,應(yīng)用多因素非條件Logistic回歸進(jìn)行回歸分析。結(jié)果:92例術(shù)后呼吸機(jī)輔助呼吸的老年患者中,24例48h內(nèi)撤機(jī)失敗,發(fā)生率26.1%。失敗組患者APACHE-Ⅱ評(píng)分、吸氣壓、氧分壓、吸氧濃度均高于成功組,氧合指數(shù)低于成功組,行急診手術(shù)、腦外科術(shù)后、住院期間多重耐藥菌感染與成功組比較差異顯著(P0.05)。腦外科術(shù)后、住院期間多重耐藥菌感染、APACHE-Ⅱ評(píng)分高、吸氣壓高是撤機(jī)失敗的獨(dú)立危險(xiǎn)因素(P0.05)。結(jié)論 :腦外科術(shù)后、住院期間多重耐藥菌感染、APACHE-Ⅱ評(píng)分高、吸氣壓高是老年術(shù)后患者撤機(jī)困難的獨(dú)立危險(xiǎn)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，

本文編號(hào)：2059564