血流动力学及呼吸力学参数在呼吸衰竭患者中的变化
An Observation on the Change of Hemodynamic and Respiratory Mechanical Parameters of Patients with Respiratory Failure
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摘要: 目的 观察与研究血流动力学及呼吸力学参数在呼吸衰竭患者中的变化情况.方法 选取2016年3月至2017年5月期间四川省攀枝花学院附属医院诊治的75例呼吸衰竭患者为观察组, 75名健康同龄者为对照组.检测2组的血流动力学指标及呼吸力学参数, 并比较观察组中不同严重程度者的检测结果, 同时采用Logistic分析血流动力学指标及呼吸力学参数与呼吸衰竭的关系.结果 观察组的血流动力学指标及呼吸力学参数均差于对照组 (P<0.05) , 观察组中重度患者的血流动力学指标及呼吸力学参数均差于轻度及中度患者, 中度患者则差于轻度患者 (P<0.05) , Logistic分析显示, 血流动力学指标及呼吸力学参数均与呼吸衰竭有密切的关系.结论血流动力学指标及呼吸力学参数在呼吸衰竭患者中的变化较大, 且不同严重程度患者的检测结果存在显著性差异, 应重视对呼吸衰竭患者进行上述方面的监测与改善.Abstract: Objective To observe and study the changes of hemodynamic and respiratory mechanical parameters of patients with respiratory failure.Methods 75 patients with respiratory failure in our hospital during the time of March 2016 to May 2017 were set as the observation group, while 75 healthy persons with the same age were set as the control group.Then the hemodynamic indexes and respiratory mechanical parameters of the two groups were detected, and the detection results of observation group with different severity degree of disease were compared, and the relationship between the hemodynamic indexes, respiratory mechanical parameters and respiratory failure were analyzed with Logistic analysis. Results The hemodynamic indexes and respiratory mechanical parameters of observation group were all worse than those of the control group (P<0.05) , the hemodynamic indexes and respiratory mechanical parameters of observation group with servere disease were all worse than those of patients with mild and moderate disease, the results of patients with moderate disease were worse than those of patients with mild disease (P<0.05) , and the Logistic analysis showed the hemodynamic indexes and respiratory mechanical parameters all had close relationship to the respiratory failure. Conclusions The change of hemodynamic and respiratory mechanical parameters of patients with respiratory failure are greater, and the detection results of patients with different severity degree of disease have significant differences, so those items of patients with respiratory failure should be monitored and improveed.
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