Abstract：Objective To explore the incidence and prognosis of critical patients with acute gastrointestinal dysfunction in ICU. Methods Critical patients in intensive care unit(ICU)of the First Affiliated Hospital of Bengbu Medical College admitted from January 2008 to December 2012 were studied retrospectively. The incidence of acute gastrointestinal injury (AGI) was observed. According to the AGI degree of concurrency, the patients were divided into four groups (AGI Ⅰ-Ⅳ group). Clinical index in four groups as age, gender (male/female), APACHE Ⅱ score and the length of ICU stay, mortality were analyzed. Results A total of 3 321 patients were collected, 2 261 of them suffered from AGI. The morbidity was 68.08％, including AGI grade Ⅰ 1 123 cases(33.81％), grade Ⅱ 586 cases(17.65％), grade Ⅲ 367 cases(11.05％), grade Ⅳ 185 cases(5.57%). There were no significant differences in the male / female ratio and the age among the four groups(all P values>0.05), but significant differences in the APACHE Ⅱ score and the length of ICU stay (all P values<0.01). In the 3 321 cases of severe patients, the mortality rate was 4.73% (157/3 321), and the mortality of AGI Ⅰ-Ⅳ group was 2.76% (31/1 123), 6.31% (37/586), 9.81% (36/367), 28.65% (53/185), there were significant differences in the mortality among the four groups (χ2=170.316, P=0.000). Conclusions The incidence of critical patients with acute gastrointestinal dysfunction is high, and seriously affects the prognosis.
汪华学, 赵士兵, 吴强, 邓晰明, 郑胜永, 何先弟. 3 321例ICU重症患者急性胃肠功能障碍的发生及其预后[J]. 中华解剖与临床杂志, 2014, 19(2): 126-128.
Wang Huaxue, Zhao Shibing, Wu Qiang, Deng Ximing, Zheng Shengyong, He Xiandi. Incidence and prognosis of critical patients with acute gastrointestinal dysfunction in ICU: a report of 3 321 cases. Chinese Journal of Anatomy and Clinics, 2014, 19(2): 126-128.
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