膈肌厚度分数和综合肺部指数对重症急性胰腺炎患者拔管结局的预测价值。
Predictive value of diaphragmatic thickness fraction and integrated pulmonary index on extubation outcome in patients with severe acute pancreatitis.
机构信息
Department of Critical Care Medicine, Chongqing General Hospital, Chongqing, China.
出版信息
J Int Med Res. 2024 Jun;52(6):3000605241258172. doi: 10.1177/03000605241258172.
OBJECTIVE
This study was performed to explore the predictive value of the diaphragmatic thickness fraction (DTF) combined with the integrated pulmonary index (IPI) for the extubation outcome in patients with severe acute pancreatitis (SAP).
METHODS
This prospective study involved 93 patients diagnosed with SAP and treated with mechanical ventilation in our hospital from October 2020 to September 2023. The patients were divided into a successful extubation group (61 patients) and an extubation failure group (32 patients) based on the extubation outcomes. The predictive value of the DTF, IPI, and their combination for extubation failure was analyzed.
RESULTS
The DTF and IPI were independent risk factors for extubation failure in patients with SAP undergoing mechanical ventilation. In addition, the combination of the DTF and IPI showed predictive value for extubation failure in these patients.
CONCLUSION
The DTF and IPI hold predictive value for extubation failure in patients with SAP undergoing mechanical ventilation, and their combined use may improve the predictive efficiency.
目的
本研究旨在探讨膈肌厚度分数（DTF）与综合肺部指数（IPI）联合对重症急性胰腺炎（SAP）患者拔管结局的预测价值。
方法
本前瞻性研究纳入了 2020 年 10 月至 2023 年 9 月期间在我院接受机械通气治疗的 93 例 SAP 患者。根据拔管结局，将患者分为成功拔管组（61 例）和拔管失败组（32 例）。分析 DTF、IPI 及其联合对拔管失败的预测价值。
结果
DTF 和 IPI 是 SAP 机械通气患者拔管失败的独立危险因素。此外，DTF 和 IPI 的联合使用对这些患者的拔管失败具有预测价值。
结论
DTF 和 IPI 对 SAP 机械通气患者的拔管失败具有预测价值，两者联合使用可能会提高预测效率。
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