呼吸频率、顺应性、氧合、呼吸用力指数预测ICU患者脱机能力的临床研究

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Abstract ObjectiveTo evaluate the clinical value of breathing force index and fast and shallow breathing index in predicting offline capacity and weaning conditions in the ICU patients receiving mechanical ventilation.MethodsA total of 57 patients with chronic obstructive pulmonary disease(COPD)who were admitted to ICU in our hospital and given mechanical ventilation and successful weaning from March 2015 to March 2017 were selected.Then 57 patients with COPD who were given mechanical ventilation during the same period but the weaning was failed were selected.The patients were respectively assigned to the study group and the control group.The existing ventilator in our hospital was adopted to measure the two indices of breathing force index and fast and shallow breathing index in the study subjects of both groups,and the measurement results of the two indices and the positive rate of results were compared.ResultsThe breathing force index in the study group was significantly higher than that in the control group,and the difference between groups was significant(P＜0.05);the fast and shallow breathing index was lower than that in the control group,and the difference was significant(P＜0.05).The positive rate of breathing force index and fast and shallow breathing index positive rate of the difference was significant between the groups(P＜0.05).ConclusionIn the ICU patients receiving mechanical ventilation,the breathing force index for the patients with successful weaning is significantly higher than that in the failed ones,and the fast and shallow of breathing index is significantly lower than that in the failed ones.Clinically,according to this feature,a more objective and accurate judgment of whether the patient is in compliance with the conditions of weaning during the treatment can be made.

Key words： ICU Mechanical ventilation Weaning Breathing force index Fast and shallow of breathing index Prediction Value

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	Articles by authors
	ZHAN Gen-sheng
	ZHANG Man-liang
	LI Li-rong
	ZHANG Qian-wei

Cite this article:

ZHAN Gen-sheng,ZHANG Man-liang,LI Li-rong, et al. Clinical study on respiratory rate，compliance，oxygenation and breathing force index in predicting offline capability in ICU patients[J]. 中国当代医药, 2017, 24(32): 17-19.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I32/17

[1]	陈登霞.浅快呼吸指数对COPD患者机械通气撤机的预测价值[J].临床肺科杂志，2013，18（9）：1698-1699.
[2]	林惠旻，黄斌.呼吸浅快指数与脱机成功率的相关性分析[J].现代中西医结合杂志，2013，22（22）：2447-2448.
[3]	崔娜，高占成.浅快呼吸指数对撤机预测价值的荟萃分析[J].现代中西医结合杂志，2014，23（25）：2751-2754.
[4]	罗先海，陈万.改良GCS≥10分作为有创-无创序贯通气切换点治疗COPD并呼吸衰竭临床观察[J].重庆医学，2016，45（10）：1381-1383.
[5]	昝国欣.NIPPV治疗 AECOPD呼吸衰竭并意识障碍的临床研究[J].国际医药卫生导报，2016，22（8）：1094-1096.
[6]	余开颜，祝敏芳，李赛琪，等.无创正压通气治疗食管癌术后急性呼吸衰竭患者的临床研究[J].中华危重症医学杂志（电子版），2015，11（5）：306-308.
[7]	王景民，杨敏会，王亚梅.双气道正压通气在慢性阻塞性肺疾病中的应用[J].中国医刊，2012，47（10）：64-65.
[8]	朱艳玲，田亮东，方华.有创-无创序贯通气对慢性阻塞性肺疾病急性加重合并Ⅱ型呼吸衰竭患者撤机的影响研究[J].实用心脑肺血管病杂志，2015，23（4）：17-19.
[9]	吴政庚，李晓斌，朱建辉，等.浅快呼吸指数预测ICU中COPD 患者撤机的临床价值[J].中国医药导报，2012，9（30）：157-158.
[10]	卜凡双.有创与无创序贯性机械通气治疗慢性阻塞性肺疾病所致严重呼吸衰竭的研究[J].医药前沿，2013，6（32）：254.
[11]	悦云.纤维支气管镜对机械通气治疗COPD并呼吸衰竭的效果及并发症的影响[J].中国急救医学，2015，14（4）：355-358.
[12]	黄金华，黎教武，陈伟建，等.有创-无创序贯通气治疗慢性阻塞性肺疾病并急性呼吸衰竭的临床效果及其切换点研究[J].实用心脑肺血管病杂志，2015，23（4）：20-23.
[13]	杨忠民，徐镶怀，陈强，等.双水平气道正压通气联合舒利迭对老年中重度慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者生活质量的影响[J].中国综合临床，2014，30（1）：73-76.
[14]	段俊峰，陈小菊，王涛，等.不同撤机指标对慢性阻塞性肺疾病患者撤机的预测价值研究[J].国际呼吸杂志，2014，34（21）：1632-1633.
[15]	方芳，江国强.两种自主呼吸试验对接受有创通气的COPD患者撤机价值探讨[J].国际呼吸杂志，2015，35（15）：1133-1134.