医学临床研究
醫學臨床研究
의학림상연구
Journal of Clinical Research
2015年
8期
1548-1550
,共3页
通气机,机械%呼吸功能不全/治疗%急性病%危险因素%预后
通氣機,機械%呼吸功能不全/治療%急性病%危險因素%預後
통기궤,궤계%호흡공능불전/치료%급성병%위험인소%예후
Ventilators,Mechanical%Respiratory Insufficiency/TH%Acute Disease%Risk Fac-tors%Prognosis
【目的】探讨呼吸衰竭患者急救时机与患者生存状况的关系。【方法】收集呼吸衰竭患者200例的临床资料,根据插管时机的选择分为对照组和观察组,统计两组患者的生存情况,分析插管时机与患者生存状况的相关性。【结果】观察组的病死率为25.40%,明显低于对照组55.41%,差异有统计学意义(P <0.05)；观察组平均呼吸机使用时间(53.47±13.42)h,短于对照组(67.52±15.72)h,差异有统计学意义(P <0.05)。Logistic 回归多因素分析结果显示：急救时机、年龄、营养状况、pH、动脉二氧化碳分压(PaCO 2)、动脉氧分压(PaO 2)及血液中乳酸平均含量是影响急性呼吸衰竭患者生存的独立危险因素。【结论】急救时机与呼吸衰竭患者的病死率及平均呼吸机使用时间密切相关。
【目的】探討呼吸衰竭患者急救時機與患者生存狀況的關繫。【方法】收集呼吸衰竭患者200例的臨床資料,根據插管時機的選擇分為對照組和觀察組,統計兩組患者的生存情況,分析插管時機與患者生存狀況的相關性。【結果】觀察組的病死率為25.40%,明顯低于對照組55.41%,差異有統計學意義(P <0.05)；觀察組平均呼吸機使用時間(53.47±13.42)h,短于對照組(67.52±15.72)h,差異有統計學意義(P <0.05)。Logistic 迴歸多因素分析結果顯示：急救時機、年齡、營養狀況、pH、動脈二氧化碳分壓(PaCO 2)、動脈氧分壓(PaO 2)及血液中乳痠平均含量是影響急性呼吸衰竭患者生存的獨立危險因素。【結論】急救時機與呼吸衰竭患者的病死率及平均呼吸機使用時間密切相關。
【목적】탐토호흡쇠갈환자급구시궤여환자생존상황적관계。【방법】수집호흡쇠갈환자200례적림상자료,근거삽관시궤적선택분위대조조화관찰조,통계량조환자적생존정황,분석삽관시궤여환자생존상황적상관성。【결과】관찰조적병사솔위25.40%,명현저우대조조55.41%,차이유통계학의의(P <0.05)；관찰조평균호흡궤사용시간(53.47±13.42)h,단우대조조(67.52±15.72)h,차이유통계학의의(P <0.05)。Logistic 회귀다인소분석결과현시：급구시궤、년령、영양상황、pH、동맥이양화탄분압(PaCO 2)、동맥양분압(PaO 2)급혈액중유산평균함량시영향급성호흡쇠갈환자생존적독립위험인소。【결론】급구시궤여호흡쇠갈환자적병사솔급평균호흡궤사용시간밀절상관。
[Objective]To investigate the effect of emergency treatment timing on the survival situation of patients with respiratory failure.[Methods]200 clinic patients with respiratory failure were collected.upon the timing of intubation conditions,Patients were divided into the observation group and the control group,The rate of survival and the risk factors associated with survival were analyzed.[Results]The mortality rate in the observation group was 25.40%,significantly lower than the control group (55.41%),the difference was sta-tistically significant (P <0.05 );the average ventilator time of observation group was (53.47 ± 13.42 )h, which was shorter than the control group (67.52 ± 1 5.72)h,the difference was statistically significant (P <0.05 ).Logistic regression analysis showed that:time of intubation,age,nutritional status,averages pH, PaCO 2 values (mm Hg),PaO 2 values (mm Hg),and the average content of lactic acid in the blood (mmol/L)compose the risk factors associated with survival situation in patients with respiratory failure.[Conclusion]The timing of emergency and average time of ventilator.are closely related to the mortality in patients with re-spiratory failure.
