Influencing factors of lower extremity ischemic injury in patients with extracorporeal membrane oxygenation
10.3760/cma.j.cn115682-20210914-04161
- VernacularTitle:体外膜肺氧合患者下肢缺血性损伤的影响因素研究
- Author:
Weiguo YE
1
;
Liuqin XIA
;
Xiaokang ZENG
;
Pei HUANG
;
Mingli ZHU
Author Information
1. 浙江大学医学院附属杭州市第一人民医院重症医学科，杭州 310006
- Keywords:
Extracorporeal membrane oxygenation;
Left ventricular ejection fraction;
Diabetes mellitus;
Lower extremity ischemia
- From:
Chinese Journal of Modern Nursing
2022;28(18):2449-2453
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the influencing factors of lower extremity ischemic injury in patients with extracorporeal membrane oxygenation (ECMO) .Methods:From July 2016 to December 2020, convenience sampling was used to select 123 ECMO patients admitted to the Intensive Care Unit, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine as the research object. Based on the occurrence of lower extremity ischemia, the patients with lower extremity ischemia were included in the ischemic injury group ( n=21) , and the patients without lower extremity ischemia were included in the non-ischemic injury group ( n=102) . The clinical data of the two groups of patients were collected, and the influencing factors of lower extremity ischemia in ECMO patients were analyzed by multivariate Logistic regression. Results:Multivariate Logistic regression analysis showed that diabetes, cardiac arrest, left ventricular ejection fraction, and ECMO adjuvant time were all influencing factors for lower extremity ischemia in ECMO patients, and the differences were statistically significant ( P<0.05) . Conclusions:The occurrence of lower extremity ischemia in ECMO patients is related to factors such as diabetes mellitus and left ventricular ejection fraction, which needs medical and nursing staff to attach great importance to it and take measures to actively prevent it.
