急性呼吸窘迫综合征临床治疗观察及预后影响因素分析

目的:观察急性呼吸窘迫综合征临床治疗效果,并对预后影响因素进行分析。方法:回顾性分析2006年3月~2011年10月在我院接受治疗的56例急性呼吸窘迫综合征患者的临床资料,使用SPSS12.0进行统计分析,并进行多因素Logistic回归分析。结果:采用以PEEP为主的综合治疗,并联合使用血必净注射液和乌司他丁,治疗ARDS病死率为26.8%;预后影响因素中ARDS并发MODS、APACHEⅡ评分和发病至接受治疗时间具有显著意义。结论:该治疗方法病死率较低,效果良好;ARDS并发并发MODS、APACHEⅡ评分和发病至接受治疗时间是影响ARDS患者的病死预后主要因素。

Clinical Observation of Acute Respiratory Distress Syndrome and Analysis of Prognostic Factors

Objective: To observe the clinical results of acute respiratory distress syndrome,and analyze prognostic factors.Methods: During the period March 2006 to October 2011,56 cases of the acute respiratory distress syndrome patients were performed.Their clini-cal data has been analyzed wirh SPSS12.0,and then Logistic regression analysis has been used for it.Results: Patient has been compre-hensively treated on the base of PEEP with combining xuebijing injection and ulinastatin.Its fatality is 26.8%.It has remarkable signifi-cance such as ARDS concurrent MODS,APACHEⅡ score,and time during the period sick to being treated.Conclusions: The treatment is well.It was the main prognostic factors such as ARDS concurrent MODS,APACHEⅡ score,and time during the period sick to being treated.