体质量指数与急性呼吸窘迫综合征相关性临床研究

发布时间：2018-03-10 20:36

本文选题：呼吸窘迫综合征　切入点：成人　出处：《重庆医学》2014年04期 　论文类型：期刊论文

【摘要】：目的探讨体质量指数(BMI)与入住重症监护室(ICU)患者肺损伤程度的相关性。方法将该院84例入ICU时诊断为急性呼吸窘迫综合征(ARDS)按BMI分为两组,A组49例,B组35例。记录两组患者治疗前7d动脉血气结果、气管插管率、ICU停留时间、病死率等临床资料。结果从第3天开始,B组患者氧和指数显著低于A组,差异有统计学意义(P0.05);呼吸支持治疗上,A组12.24%患者在ICU内接受气管插管,B组20%患者行气管内插管7例,组间差异有统计学意义(P0.05);A组ICU平均停留时间4.5d、病死率8.16%;B组ICU平均停留时间7.2d;病死率17.14%,二者差异有统计学意义(P0.05)。结论高BMI患者发生ARDS后,氧饱和度差,且需要更大呼吸支持力度,同时在ICU内停留时间及病死率均高于正常BMI患者。
[Abstract]:Objective to investigate the relationship between body mass index (BMI) and ICU stay (ICU) correlation degree in patients with lung injury. Methods the 84 cases of ICU for the diagnosis of acute respiratory distress syndrome (ARDS) by BMI were divided into two groups, 49 cases in A group, 35 cases in group B were recorded before treatment 7d. Arterial blood gas results in two patients, the rate of endotracheal intubation, ICU stay time, the clinical data of mortality. Results from the third day, B group and A group were significantly lower than the oxygen index, the difference was statistically significant (P0.05); respiratory support treatment, A group of 12.24% patients received tracheal intubation in ICU group, B 20% patients underwent endotracheal intubation in 7 cases, there was significant difference between the groups (P0.05); the average residence time of 4.5d ICU A group, the fatality rate was 8.16%; the average residence time of B group ICU 7.2d; the mortality rate was 17.14%. There was significant difference between the two groups (P0.05). Conclusion the patients with high BMI ARDS, oxygen saturation difference and, the need for greater respiratory support At the same time, the retention time and the mortality rate in ICU were higher than those of the normal BMI patients.

【作者单位】：四川省医学科学院/四川省人民医院外科ICU;
【分类号】：R563.8

【参考文献】