【摘要】 目的:探讨危重症病人胃肠功能障碍与预后的关系。方法:回顾性分析300危重症病人临床资料,将其分为胃肠功能障碍组(181例)和非胃肠功能障碍组(119例)。评价胃肠功能障碍与急性生理和慢性健康(A-PACHEⅡ)评分、多器官功能障碍综合征(MODS)及预后的关系。结果:综合性重症监护病房(G ICU)内胃肠功能障碍的患病率为60.3%。胃肠功能障碍组病人APACHEⅡ评分、MODS发生率和病死率,均较非胃肠功能障碍组明显升高(P<0.05)。结论:危重症病人胃肠功能障碍提示病情严重和预后不良。更多还原

【Abstract】 Objective: To investigate the relationship between gastrointestinal dysfunction and prognosis in patients with critical illness.Methods: Three hundred patients with critical illness were retrospectively analyzed and divided into two groups: the group of gastrointestinal dysfunction(n=181) and the group of non-gastrointestinal dysfunction(n=119).The relationship between gastrointestinal dysfunction and severity score(APACHEⅡ score),incidence rate of multiple organ dysfunction syndrome(MODS) and prognosis was evaluated respectedly.Results: Morbidity of gastrointestinal dysfunction in general intensive care unit(GICU) was 60.3%.APACHEⅡscore,incidence rate of MODS and mortality were significantly lower in the group of gastrointestinal dysfunction than those in the group of non-gastrointestinal dysfunction(P<0.05).Conclusion: The results suggested that gastrointestinal dysfunction of patients with critical illness indicated the severity of illness and the bad prognosis.更多还原