浅析用血管外肺水指数评价急性呼吸窘迫综合征患者预后的临床价值

Analysis of the clinical value of the patients with acute respiratory distress syndrome by using the index of blood vessel and water index

目的:探讨用血管外肺水指数评价急性呼吸窘迫综合征患者预后的临床价值。方法:对2013年7月~2014年8月期间我院收治的90例急性呼吸窘迫综合征患者的临床资料进行回顾性研究。这90例患者入院后,对其均进行氧合指数检测,根据其检测结果将患者分为轻度组、中度组和重度组,每组各有30例患者。所有患者均在重症监护室接受相应的治疗。在进行治疗的3天内连续为患者测量血管外肺水指数。然后,比较三组患者3天内的平均血管外肺水指数及其1个月内的死亡率。结果:重度组患者3天内的平均血管外肺水指数明显高于中度组和轻度组患者,中度组患者3天内的平均血管外肺水指数明显高于轻度组患者,差异具有显著性(P>0.05)。重度组患者1个月内的死亡率明显高于中度组和轻度组患者,中度组患者1个月内的死亡率明显高于轻度组患者,差异具有显著性(P>0.05)。这说明,患者血管外肺水指数越高,其病情越严重。结论:用血管外肺水指数评价急性呼吸窘迫综合征患者的预后具有重要的临床价值。此方法值得在临床上推广应用。

Objective To analyze and discuss the application value extravascular lung water index for the prognosis of patients with acute respiratory distress syndrome were evaluated.Methods Randomly selected 90 cases of acute respiratory distress syndrome as the object of study, the patients were divided according to the oxygenation index moderate, mild and severe groups of patients (30 cases). All patients entering the intensive care unit after the corresponding treatment, the mortality rate in patients with average contrast extravascular lung water index three days and one month period.Results Compared to the group with mild, moderate and severe patients extravascular lung water index average of 3 days significantly higher (P> 0.05); compared with mild group, the average moderate extravascular lung water index was significantly higher (P <0.05), the difference was statistically significant.Conclusion Extravascular lung water index to acute respiratory distress syndrome to evaluate the patient’s condition has important clinical value in evaluating the prognosis of patients.