新医学2024，Vol.55Issue(5)：348-353,6.DOI:10.3969/j.issn.0253-9802.2024.05.005
儿童脓毒性心肌病的临床特征及发病危险因素分析
Clinical features and risk factors of sepsis-induced cardiomyopathy in children with sepsis
摘要
Abstract
Objective To investigate the clinical features and risk factors of sepsis-induced cardiomyopathy in children with sepsis,aiming to provide reference for enhancing the diagnosis and treatment levels of clinicians.Methods Clinical data of children with sepsis were retrospectively analyzed.All patients were divided into the sepsis-induced cardiomyopathy group and non-sepsis-induced cardiomyopathy group according to whether sepsis-induced cardiomyopathy occurred.Clinical characteristics and outcomes were compared between two groups.The risk factors of sepsis-induced cardiomyopathy were analyzed.Results Three hundred and ninty-eight children with sepsis were included in this study,and the incidence of sepsis-induced cardiomyopathy was 15.58%(62/398).The age of children in the sepsis-induced cardiomyopathy group was 49(18,108)months,older than 19(6,52)months in the non-sepsis-induced cardiomyopathy group.The incidence of septic shock in the sepsis-induced cardiomyopathy group was 83.87%(52/62),which was higher than 42.56%(143/336)in the non-sepsis-induced cardiomyopathy group.The mortality rate in the sepsis-induced cardiomyopathy group was 29.03%(18/62),significantly higher than 14.58%(49/336)in the non-sepsis-induced cardiomyopathy group.All differences were statistically significant(all P<0.05).Multivariate Logistic regression analysis showed that the influence of age on sepsis-induced cardiomyopathy was statistically significant(OR=1.010,95%CI 1.003-1.017,P=0.006).The higher the lactic acid level,the higher the risk of sepsis-induced cardiomyopathy,with statistical significance(OR=1.163,95%CI 1.034-1.308,P=0.012).The higher the cTnI level,the higher the risk of sepsis-induced cardiomyopathy,with statistical significance(OR=9.929,95%CI 4.651-21.197,P<0.001).Conclusions Compared with children with non-sepsis-induced cardiomyopathy,children with sepsis-induced cardiomyopathy are more prone to septic shock and have higher mortality.Age,lactic acid and cTnI levels are the independent influencing factors for sepsis-induced cardiomyopathy in children.关键词
儿童/脓毒症/脓毒性心肌病/危险因素/临床特征/脓毒性休克Key words
Children/Sepsis/Sepsis-induced cardiomyopathy/Risk factors/Clinical characteristics/Septic shock引用本文复制引用
郭恩玉,房艳岭,耿化晓,王文杰,李姗姗,孟祥兰,张海防..儿童脓毒性心肌病的临床特征及发病危险因素分析[J].新医学,2024,55(5):348-353,6.基金项目
济宁市第一人民医院"启航"科研项目(2021-QHM-001) （2021-QHM-001）
