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[1]周 丽,刘 晅,荆 璐,等.基于膈肌超声的RSBI对无创通气撤机成功的预测意义[J].中华肺部疾病杂志,2024,(03):450-453.[doi:10.3877/cma.j.issn.1674-6902.2024.03.022 ]
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基于膈肌超声的RSBI对无创通气撤机成功的预测意义(PDF)

《中华肺部疾病杂志》[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2024年03期
页码:
450-453
栏目:
临床研究
出版日期:
2024-06-25

文章信息/Info

Title:
-
作者:
周 丽1; 刘 晅1; 荆 璐1; 李 娜1; 王齐国2
518000 深圳,深圳市盐田区人民医院重症医学科1
830099 乌鲁木齐,新疆医科大学第四附属医院重症医学科2
Author(s):
-
关键词:
膈肌超声;  浅快呼吸指数;  无创通气;  膈肌偏移;  膈肌增厚分数;  撤机结局
Keywords:
-
分类号:
R563
DOI:
10.3877/cma.j.issn.1674-6902.2024.03.022
摘要:
目的 分析浅快呼吸指数(rapid shallow breath index, RSBI),膈肌偏移RSBI(diaphragmatic excursion-RSBI, DE-RSBI)、膈肌增厚分数RSBI(diaphragm thickening fraction-RSBI, DTF-RSBI)对无创通气撤机成功的预测意义。 方法 选取2022年1月至2023年10月我院收治的73例接受无创通气患者为对象,无创通气撤机成功49例为观察组,撤机失败24例为对照组,测量膈肌功能及相关指标,计算DE-RSBI、DTF-RSBI等参数,收集一般资料及相关临床指标。采用多因素Logistic回归分析无创通气患者撤机结果影响因素,构建预测模型,通过ROC曲线分析模型预测。 结果 观察组RSBI(60.03±12.43)次?min-1?L-1、DE-RSBI(1.38±0.34)、DTF-RSBI(69.25±10.38)低于对照组RSBI(76.66±20.84)次?min-1?L-1、DE-RSBI(2.11±0.42)、DTF-RSBI(82.16±12.07),P<0.05。多因素Logistic回归分析显示,RSBI(OR=0.945)、DE-RSBI(OR=0.852)、DTF-RSBI(OR=0.545)是无创通气撤机成功的保护因素(P<0.05); 膈肌超声参数DE-RSBI和DTF-RSBI的预测高于RSBI,DE-RSBI和DTF-RSBI联合预测高,AUC为0.962,敏感性为92.19%,特异性为87.50%。 结论 基于膈肌超声参数DE-RSBI、DTF-RSBI较传统RSBI能准确预测无创通气的撤机结果,联合膈肌功能情况可提高撤机结果的预测,优化撤机成功率。
Abstract:
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参考文献/References:

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备注/Memo

备注/Memo:
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更新日期/Last Update: 2024-06-25