老年重症患者急性皮肤衰竭现状及危险因素分析

doi:10.3761/j.issn.2096-7446.2024.05.003

摘要/Abstract

摘要： 目的探讨老年重症患者急性皮肤衰竭现状,并分析其危险因素。方法采取前瞻性观察性研究的方法,将2021年1月—2023年1月入住苏州市某三级甲等医院急诊重症监护室的老年患者作为研究对象,收集患者住院期间的病例资料,采用单因素及多因素Logistic回归分析老年重症患者急性皮肤衰竭发生的危险因素。结果 251例老年患者完成调查,105例发生了急性皮肤衰竭,发生率为41.83%。Logistic回归分析结果显示,老年重症患者急性皮肤衰竭发生的危险因素包括Braden评分（OR=0.732）、肾脏衰竭（OR=2.881）、心力衰竭（OR=3.962）、脓毒症（OR=2.459）、动脉血乳酸水平（OR=1.226）、镇静镇痛（OR=3.135）。结论老年重症患者急性皮肤衰竭的发生率较高,低Braden评分、肾脏衰竭、心力衰竭、脓毒症、动脉血乳酸水平高、使用镇静镇痛药物是老年重症患者急性皮肤衰竭发生的独立危险因素。

关键词: 重症监护病房, 老年患者, 急性皮肤衰竭, 危险因素

Abstract: Objective To investigate the incidence and risk factors of acute skin failure in critically ill elderly patients. Methods A prospective observational study was carried out in elderly patients admitted to EICU in a tertiary grade A hospital in Suzhou from January 2021 to January 2023,the risk factors of acute skin failure were analyzed by univariate and multivariate Logistic regression. Results 251 elderly patients completed the survey,105 cases had acute skin failure,the incidence was 41.83%. Logistic regression analysis showed that the risk factors of acute skin failure in severe elderly patients included Braden score（OR=0.732）,renal failure（OR=2.881）,heart failure（OR=3.962）,sepsis（OR=2.459）,arterial blood lactic acid level（OR=1.226）,sedation and analgesia（OR=3.135）. Conclusion The incidence of acute skin failure in critically ill elderly patients is high. Low Braden score,renal failure,heart failure,sepsis,and high arterial blood lactic acid level,use of sedatives and analgesics were independent risk factors for acute skin failure in critically ill elderly patients.

Key words: Intensive Care Unit, Elderly Patients, Acute Skin Failure, Risk Factors

许培, 吴玲玉, 马丽华, 许晓文, 周金红. 老年重症患者急性皮肤衰竭现状及危险因素分析[J]. 中华急危重症护理杂志, 2024, 5(5): 401-407.

XU Pei, WU Lingyu, MA Lihua, XU Xiaowen, ZHOU Jinhong. The status and risk factors analysis of acute skin failure in critically ill elderly patients[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024, 5(5): 401-407.

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