急性呼吸窘迫综合征患者无创通气和预后的影响因素分析

发布时间：2018-05-23 14:10

本文选题：急性呼吸窘迫综合征 + 无创通气　；参考：《中国地方病防治杂志》2016年10期

【摘要】：目的讨急性呼吸窘迫综合征患者应用无创通气治疗成功与否及预后的影响因素。方法以2012年6月至2015年5月本院收治的96例急性呼吸窘迫综合征(ARDS)患者为研究对象,其中入院时使用无创通气(NIV)治疗的患者56例,直接气管插管的患者40例,分析ARDS患者无创通气治疗成功与否及预后的影响因素。结果氧合指数、脓毒性休克比例和ARDS严重度是影响NIV治疗成功与否的因素。APACHE II评分、氧合指数、脓毒性休克比例和ARDS严重度是ARDS患者死亡的危险因素。结论无创通气更适合于轻度ARDS患者的治疗,ARDS患者APACHE II评分、脓毒性休克比例越高,氧合指数越低,病情越严重时,其死亡率则越高。
[Abstract]:Objective to investigate the success and prognostic factors of non-invasive ventilation in patients with acute respiratory distress syndrome (ARDS). Methods from June 2012 to May 2015, 96 patients with acute respiratory distress syndrome (ARDS) were studied, including 56 patients treated with NIV and 40 patients with direct tracheal intubation. To analyze the factors influencing the success and prognosis of non-invasive ventilation in patients with ARDS. Results Oxygenation index, septic shock rate and severity of ARDS were the factors influencing the success of NIV treatment. Apache II score, oxygenation index, septic shock ratio and ARDS severity were the risk factors of death in ARDS patients. Conclusion Non-invasive ventilation is more suitable for APACHE II score of mild ARDS patients. The higher the proportion of septic shock, the lower the oxygenation index and the higher the death rate.
【作者单位】：江阴市人民医院;
【基金】：江苏省卫计委科技基金(编号：1400170498)
【分类号】：R563.8

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