医学综述
醫學綜述
의학종술
MEDICAL RECAPITULATE
2015年
15期
2845-2847
,共3页
慢性阻塞性肺疾病%呼吸衰竭%有创无创序贯通气%撤机%再次气管插管%相关因素
慢性阻塞性肺疾病%呼吸衰竭%有創無創序貫通氣%撤機%再次氣管插管%相關因素
만성조새성폐질병%호흡쇠갈%유창무창서관통기%철궤%재차기관삽관%상관인소
Chronic obstructive pulmonary diseases%Respiratory failure%Sequential mechanical venti-lation of the invasive and noninvasive%Weaning%Re-intubation%Related factor
目的:探讨慢性阻塞性肺疾病急性加重期( AECOPD)合并呼吸衰竭患者有创-无创序贯通气撤机时再次气管插管(再插管)的相关因素。方法回顾性分析2012年1月至2014年6月钦州市第二人民医院ICU收治的AECOPD合并呼吸衰竭行有创-无创序贯通气撤机患者的临床资料,根据患者是否需要再次插管分为再插管组(19例)和非再次插管组(120例),对可能引起再次插管的危险因素进行分析。结果咳嗽排痰能力差( OR =4.987,95%CI 1.813~11.052,P =0.003)、无创序贯通气12 h时二氧化碳分压升高(OR=7.563,95%CI 1.936~19.857,P=0.001)是导致AECOPD合并呼吸衰竭患者行有创-无创序贯通气撤机时再插管的影响因素。结论咳嗽排痰能力差和无创序贯通气12 h时二氧化碳分压升高是AECOPD合并呼吸衰竭患者行有创-无创序贯通气撤机时再次插管的危险因素。
目的:探討慢性阻塞性肺疾病急性加重期( AECOPD)閤併呼吸衰竭患者有創-無創序貫通氣撤機時再次氣管插管(再插管)的相關因素。方法迴顧性分析2012年1月至2014年6月欽州市第二人民醫院ICU收治的AECOPD閤併呼吸衰竭行有創-無創序貫通氣撤機患者的臨床資料,根據患者是否需要再次插管分為再插管組(19例)和非再次插管組(120例),對可能引起再次插管的危險因素進行分析。結果咳嗽排痰能力差( OR =4.987,95%CI 1.813~11.052,P =0.003)、無創序貫通氣12 h時二氧化碳分壓升高(OR=7.563,95%CI 1.936~19.857,P=0.001)是導緻AECOPD閤併呼吸衰竭患者行有創-無創序貫通氣撤機時再插管的影響因素。結論咳嗽排痰能力差和無創序貫通氣12 h時二氧化碳分壓升高是AECOPD閤併呼吸衰竭患者行有創-無創序貫通氣撤機時再次插管的危險因素。
목적:탐토만성조새성폐질병급성가중기( AECOPD)합병호흡쇠갈환자유창-무창서관통기철궤시재차기관삽관(재삽관)적상관인소。방법회고성분석2012년1월지2014년6월흠주시제이인민의원ICU수치적AECOPD합병호흡쇠갈행유창-무창서관통기철궤환자적림상자료,근거환자시부수요재차삽관분위재삽관조(19례)화비재차삽관조(120례),대가능인기재차삽관적위험인소진행분석。결과해수배담능력차( OR =4.987,95%CI 1.813~11.052,P =0.003)、무창서관통기12 h시이양화탄분압승고(OR=7.563,95%CI 1.936~19.857,P=0.001)시도치AECOPD합병호흡쇠갈환자행유창-무창서관통기철궤시재삽관적영향인소。결론해수배담능력차화무창서관통기12 h시이양화탄분압승고시AECOPD합병호흡쇠갈환자행유창-무창서관통기철궤시재차삽관적위험인소。
Objective To explore the risk factors related to re-intubation of invasive and noninvasive sequential mechanical ventilation of acute exacerbation of chronic obstructive pulmonary disease(AECOPD). Methods The clinical data of 139 cases of AECOPD receiving invasive and noninvasive sequential mechan-ical ventilation in Intensive Care Unit of Qinzhou City Second People′s Hospital from Jan.2012 to Jun.2014 were analyzed retrospectively,and the 139 cases were divided into re-intubation group (19 cases) and non re-intubation group(120 cases),and the risk factors related to re-intubation were analyzed.Results Poor capability of sputum exclusion(OR =4.987,95%CI 1.813-11.052,P =0.003),CO2 partial pressure increase after 12 h with sequential noninvasive mechanical ventilation(OR=7.563,95%CI 1.936-19.857, P=0.001 ) were the independent risk factors for re-intubation.Conclusion Poor capability of sputum exclusion and CO2 partial pressure increase after 12 h with sequential noninvasive mechanical ventilation are risk factors for re-intubation of AECOPD patients undergoing invasive and noninvasive sequential mechanical ventilation.