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念珠菌血症患者预后危险因素分析

Analysis of the Risk Factors for the Prognosis of Candidaemia

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【作者】 聂孝伟刘冰赵德军丁士芳

【Author】 NIE Xiao-wei;LIU Bing;ZHAO De-jun;Ding Shi-fang;Severe medicine department of yinan branch Hospital of shandong province;Department of otolaryngology,yinan branch Hospital of shandong province;Severe medical discipline of the people’s hospital of xinxian county,shandong province;Severe medical science in shandong province;

【机构】 山大齐鲁医院沂南分院重症医学科山大齐鲁医院沂南分院耳鼻喉科山东省莘县人民医院重症医学科山大齐鲁医院重症医学科

【摘要】 目的分析影响念珠菌血症患者预后的危险因素。方法回顾性分析33例念珠菌血症患者,分析其住院期间预后的危险因素。结果 33例念珠菌血症患者中,死亡率为45.5%。单因素分析显示,念珠菌血症患者预后与年龄、APACHE II评分、SOFA评分、是否发生感染性休克、血清白蛋白<35g/L有关,差异有统计学意义(P<0.05)。Logistics回归分析显示,SOFA评分、是否发生感染性休克为念珠菌血症患者死亡的危险因素。结论念珠菌血症的病死率较高。高龄与疾病的严重程度是影响念珠菌血症患者预后的独立危险因素。

【Abstract】 Objective To analyze the prognostic risk factors of patients with candidaemia. Methods A retrospective analysis of 33 patients with candidiasis was conducted to analyze the risk factors for the prognosis of the patients during hospitalization. Results Among the 33 patients with candidiasis, the mortality rate was 45.5%. Univariate analysis showed that the prognosis of patients with candidosis was related to age, APACHE II score, SOFA score, whether there is septic shock or serum albumin < 35 g/L(P < 0.05).The Logistics regression analysis showed that the SOFA score and the occurrence of septic shock were the risk factors for the death of patients with candidaemia. Conclusion The mortality rate of candidaemia is high. Age and the severity of disease are the independent risk factors for the prognosis of candidaemia.

【关键词】 念珠菌血症危险因素预后
【Key words】 CandidaemiaRisk factorsPrognosis
  • 【文献出处】 实用妇科内分泌杂志(电子版) ,Journal of Practical Gynecologic Endocrinology(Electronic Edition) , 编辑部邮箱 ,2017年30期
  • 【分类号】R519.3
  • 【被引频次】3
  • 【下载频次】17
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