[摘要] 目的 调查ICU幸存者转出后的急性应激障碍的发生现况，分析其影响因素。 方法 选取2016年5～8月住院期间我院普通外科和血管外科进入ICU治疗>48 h并从ICU转出者为研究对象，分析73例ICU幸存者中ASD情况，分析ASD发生的影响因素。 结果 外科ICU患者转出ICU后1周内急性应激障碍(ASD)症状的阳性率为39.7%，Logistic回归发现：高年龄与Barthel指数低是外科ICU患者转出ICU后发生ASD的危险因素。 结论 外科ICU幸存者ASD的发生率高达39.7%，与患者年龄和转出ICU时的日常生活能力水平有关。

    [关键词] 重症监护病房；应激障碍；日常生活能力；影响因素

    [中图分类号] R459.7 [文献标识码] A [文章编号] 1673-9701(2018)14-0011-03

    [Abstract] Objective To investigate the current status of acute stress disorder in ICU survivors after transferring and analyze the influencing factors. Methods A total of 73 ICU survivors who underwent ICU therapy for more than 48 hours and were transferred from ICU during hospitalization from May 2016 to August 2016 in the department of general surgery and the department of vascular surgery in our hospital were analyzed for ASD. And the influencing factors of ASD were analyzed. Results The positive rate of acute stress disorder(ASD)was 39.7% in surgical ICU patients within 1 week after transferred out of the ICU. Logistic regression revealed that the high age and low Barthel index were risk factors of ASD after surgical ICU patients were transferred from the ICU. Conclusion The incidence of ASD in surgical ICU survivors is as high as 39.7% ......