氧合指数与血管外肺水指数动态变化对急性呼吸窘迫综合征患者预后判断价值.docVIP

氧合指数与血管外肺水指数动态变化对急性呼吸窘迫综合征患者预后判断价值 　　[摘要] 目的 探讨氧合指数与血管外肺水指数的动态变化对急性呼吸窘迫综合征（ARDS）患者预后的判断价值。方法 选取我院2016年1月～2017年1月期间收治的48例ARDS患者作为研究对象，将其分为治愈组与死亡组，其中治愈组37例，死亡组11例，观察氧合指数、血管外肺水指数等相关指标。 结果 死亡组APACHE Ⅱ评分高于治愈组，差异有统计学意义（P0.05）；治愈组氧合指数不断增加，EVLWI、PVPI不断降低；死亡组患者氧合指数不断降低，CI、PVPI、EVLWI指数不断增加，第3日与首日相比较，差异有统计学意义（P0.05）；治愈组第3日氧合指数增加，EVLWI、CI水平下降，与死亡组比较差异有统计学意义（P0.05）；氧合指数与EVLWI为负相关。 结论 氧合指数与血管外肺水指数的动态变化对急性呼吸窘迫综合征患者预后工作开展具有显著的判断价值。 　　[关键词] 急性呼吸窘迫综合征；氧合指数；血管外肺水指数；预后 　　[中图分类号] R563.8 [文献标识码] A [文章编号] 1673-9701（2018）01-0001-03 　　The judgment value of dynamic changes of oxygenation index and extravascular lung water index in judging the prognosis of patients with acute respiratory distress syndrome 　　TAN Baoling 　　Department of Emergency Medicine， Xiangtan Central Hospital in Hunan Province， Xiangtan 411100， China 　　[Abstract] Objective To evaluate the judgment value of dynamic changes of oxygenation index and extravascular lung water index in judging the prognosis of patients with acute respiratory distress syndrome（ARDS）. Methods 48 patients with ARDS who were treated in our hospital from January 2016 to January 2017 were selected as the subjects. The patients were divided into the cured group（n=37） and the death group（n=11）. The related indicators including oxygenation index and extravascular lung water index were observed. Results The APACHE Ⅱ score in the death group was higher than that in the cured group， and the difference was significant（P0.05）. The oxygenation index of the cured group was increasing and the EVLWI and PVPI were decreasing. The oxygenation index of the death group was decreasing， and the CI， PVPI and EVLWI were increasing（P0.05）. And the differences in the indicators between the third day and the first day were significant（P0.05）. The oxygenation index was increased and the EVLWI， CI levels were decreased in the cured group on the third day， and the difference was statistically significant compared with death group（P0.05）. The oxygenation index was nega