CAJ | 학술논문

目的：通过荟萃分析评价浅快呼吸指数（ RSBI ）对撤机的预测价值。方法对中英文文献进行系统评价，用随机效应模型汇总各研究中浅快呼吸指数预测撤机的敏感度、特异度等指标。结果按照纳入标准最终有34项研究纳入本次荟萃分析，浅快呼吸指数预测撤机的总体敏感度为0．87，95％CI（0．85，0．88）；特异度为0．40，95％CI（0．36，0．43）；阳性似然比1．48，95％CI（1．31，1．66），阴性似然比0．28，95％CI（0．22，0．38），诊断优势比6．01，95％CI（4．03，8．96）。结论浅快呼吸指数预测撤机的敏感度较高、特异度较低，测量浅快呼吸指数有助于预测撤机结果，若希望更准确预测撤机需结合临床表现及其他撤机预测指标综合分析。
목적：통과회췌분석평개천쾌호흡지수（ RSBI ）대철궤적예측개치。방법대중영문문헌진행계통평개，용수궤효응모형회총각연구중천쾌호흡지수예측철궤적민감도、특이도등지표。결과안조납입표준최종유34항연구납입본차회췌분석，천쾌호흡지수예측철궤적총체민감도위0．87，95％CI（0．85，0．88）；특이도위0．40，95％CI（0．36，0．43）；양성사연비1．48，95％CI（1．31，1．66），음성사연비0．28，95％CI（0．22，0．38），진단우세비6．01，95％CI（4．03，8．96）。결론천쾌호흡지수예측철궤적민감도교고、특이도교저，측량천쾌호흡지수유조우예측철궤결과，약희망경준학예측철궤수결합림상표현급기타철궤예측지표종합분석。
Objective It is to evaluate the predictive value of rapid shallow breathing index ( RSBI) in ventilator weaning by a meta-analysis.Methods After a systematic review of English and Chinese language studies , sensitivity, specificity, and other measures of accuracy of rapid shallow breathing index as a predictors of weaning outcome were pooled using random effects models .Results Thirty four studies met our inclusion criteria .The summary estimation for RSBI as a predictors of wea-ning outcome in the studies included were:sensitivity 0.87 (95%confidence interval 0.85-0.88), specificity 0.40 (0.36-0.43), positive likelihood ratio 1.48 (1.36-1.66), negative likelihood ratio 0.28 (0.22-0.38), and diagnostic odds ratio 6.01(4.03-8.96).Conclusion Rapid shallow breathing index is a sensitive predictors for weaning success , but its specificity is lower .Rapid shallow breathing index is likely to be a useful predictors for weaning outcome .If we hope to get more accuracy predictive results , clinical findings and other predictors of weaning outcome are needed .