首页|PaO2、血乳酸水平预测急性呼吸衰竭并发多器官障碍的价值

PaO2、血乳酸水平预测急性呼吸衰竭并发多器官障碍的价值

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目的:探讨动脉血氧分压(PaO2)、血乳酸水平预测急性呼吸衰竭并发多器官障碍价值.方法:选取医院 2020年 5月~2022年 12月收治的 189例急性呼吸衰竭患者,分为发生组和未发生组,分析入院时PaO2、血乳酸水平与多器官功能障碍关系,用ROC预测其预测价值.结果:189例受试者,多器官功能障碍发生率 25.93%.发生组PaO2低(P<0.05),血乳酸水平高(P<0.05).Logistic回归:PaO2、血乳酸是独立危险因素(P<0.05).ROC:PaO2与血乳酸联合预测AUC为 0.988,灵敏度 95.90%,特异度 96.40%.结论:急性呼吸衰竭并发多器官障碍与PaO2、血乳酸水平密切相关,具较高预测价值.
The Value of PaO2 and Blood Lactate Levels in Predicting Acute Respiratory Failure with Concurrent Multiple Organ Dysfunction
Objective:To explore the value of arterial partial pressure of oxygen(PaO2)and blood lactate levels in predicting multiple organ dysfunction in acute respiratory failure.Method:189 patients with acute respiratory failure admitted to the hospital from May 2020 to December 2022 were selected and divided into an incidence group and a non incidence group.The relationship between PaO2,blood lactate levels,and multiple organ dysfunction at admission was analyzed,and the predictive value was predicted using ROC.Result:Among 189 subjects,the incidence of multiple organ dysfunction was 25.93%.The occurrence group had low PaO2(P<0.05)and high blood lactate levels(P<0.05).Logistic regression:PaO2 and blood lactate were independent risk factors(P<0.05).ROC:PaO2 combined with blood lactate predicted an AUC of 0.988,with a sensitivity of 95.90%and a specificity of 96.40%.Conclusion:Acute respiratory failure complicated with multiple organ dysfunction is closely related to PaO2 and blood lactate levels,and has high predictive value.

Arterial oxygen partial pressureBlood lactic acidAcute respiratory failureMultiple organ dysfunction

江叶芹、王萍、王静影、杨红艳

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中国人民解放军联勤保障部队第九〇一医院检验输血科,安徽合肥 230001

中国人民解放军联勤保障部队第九〇一医院健康医学科,安徽合肥 230001

动脉血氧分压 血乳酸 急性呼吸衰竭 多器官功能障碍

2024

现代科学仪器
中国分析测试协会

现代科学仪器

CSTPCD
影响因子:0.329
ISSN:1003-8892
年,卷(期):2024.41(5)