张丽丽,徐月文,彭文清.ARF患者气管插管后低血压的危险因素及预后分析.[J].中南医学科学杂志.,2023,(4):571-574.
ARF患者气管插管后低血压的危险因素及预后分析
Analysis of risk factors and prognosis of post-intubation hypotension in patients with ARF
投稿时间:2022-06-14  修订日期:2023-05-25
DOI:10.15972/j.cnki.43-1509/r.2023.04.024
中文关键词:  急性呼吸衰竭  气管插管  低血压  危险因素  预后 [
英文关键词:acute respiratory failure  tracheal intubation  hypotension  risk factors  prognosis
基金项目:宣城市“十四五”医疗卫生重点学科展播项目(20223002)
作者单位E-mail
张丽丽 宣城市中心医院重症医学科,安徽宣城242000 e-mail为lsds20220527@163.com 
徐月文 宣城市中心医院重症医学科,安徽宣城242000  
彭文清 宣城市中心医院重症医学科,安徽宣城242000  
摘要点击次数: 142
全文下载次数: 116
中文摘要:
      目的分析急性呼吸衰竭(ARF)患者气管插管后低血压(PIH)的危险因素并探讨其对患者预后的预测价值。 方法选择80例行气管插管ARF患者,根据插管后是否出现低血压分为PIH组和非PIH组,采用Logistic回归分析患者插管后并发低血压的危险因素,并通过ROC分析其对患者预后的预测价值。 结果80例患者插管后并发低血压者21例(26.25%)。PIH组咪达唑仑使用率高于非PIH组(P<0.05),PIH组插管后28 天病死率高于非PIH组(P<0.05)。Logistic回归分析显示,体质量、体质指数、术前收缩压、舒张压为患者插管后并发低血压的独立危险因素(P<0.05)。ROC结果显示,PIH对ARF患者不良结局有良好的预测价值(P<0.05)。 结论体质量、体质指数、术前收缩压、舒张压为ARF患者PIH的独立危险因素。PIH对ARF患者不良结局有良好的预测价值。
英文摘要:
      AimTo analyze the risk factors of post-intubation hypotension (PIH) in patients with acute respiratory failure (ARF) and to explore the predictive value on the prognosis of patients. Methods80 patients with ARF who underwent tracheal intubation were selected and divided into PIH group and non-PIH group according to hypotension occurrence after intubation. Logistic regression analysis was used to analyze the risk factors of PIH, and ROC curve was used to analyze the predictive value on prognosis. ResultsAmong the 80 patients, there were 21 cases of PIH (26.25%). The utilization rate of midazolam in PIH group was higher than that in non-PIH group (P<0.05), and the mortality at 28 days after intubation was higher than that in non-PIH group (P<0.05). Logistic regression analysis showed that body weight, body mass index, preoperative systolic blood pressure and diastolic blood pressure were independent risk factors of PIH (P<0.05). ROC results showed that PIH had a good predictive value on poor outcomes in patients with ARF (P<0.05). ConclusionBody weight, body mass index, preoperative systolic blood pressure and diastolic blood pressure are independent risk factors of PIH, and PIH has a good predictive value on poor outcomes.
查看全文  查看/发表评论  下载PDF阅读器
关闭
function PdfOpen(url){ var win="toolbar=no,location=no,directories=no,status=yes,menubar=yes,scrollbars=yes,resizable=yes"; window.open(url,"",win); } function openWin(url,w,h){ var win="toolbar=no,location=no,directories=no,status=no,menubar=no,scrollbars=yes,resizable=no,width=" + w + ",height=" + h; controlWindow=window.open(url,"",win); } &et=6FD48CA0A0DD47596EFEDD843437E431AFD9F95EFE19C0825BDC5D6F216A8BDC45F67532B7DEEF17AB9F8FE19AFA9851430838ED77EBADBE11864EBF679EC6E2C1E67D67AD946F6EF927BA761D411696625FA45500A268FFBF9CF548D92CDB0C&pcid=A9DB1C13C87CE289EA38239A9433C9DC&cid=BB33F1C95224820A&jid=6A20DF2A798996E24F064D5ECF83A153&yid=BA1E75DF0B7E0EB2&aid=B82D0CD8A3C3D1DB85571FDD69A8ECC5&vid=&iid=E158A972A605785F&sid=F16C0F639D87527E&eid=F6467E7C54ED952D&fileno=20230424&flag=1&is_more=0">