PaO2、血乳酸水平预测急性呼吸衰竭并发多器官障碍的价值
The Value of PaO2 and Blood Lactate Levels in Predicting Acute Respiratory Failure with Concurrent Multiple Organ Dysfunction
江叶芹 1王萍 1王静影 2杨红艳2
作者信息
- 1. 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
- 2. 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
- 折叠
摘要
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.
Abstract
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.
关键词
动脉血氧分压/血乳酸/急性呼吸衰竭/多器官功能障碍Key words
Arterial oxygen partial pressure/Blood lactic acid/Acute respiratory failure/Multiple organ dysfunction引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据