ScvO_2和RSBI对自主呼吸实验序贯拔管后果的预测价值比较被引量：1

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摘要目的探讨中心静脉血氧饱和度(ScvO2)和浅快呼吸指数(RSBI)对自主呼吸实验(SBT)序贯拔管后果的预测价值差异。方法采用随机数字表法随机选取机械通气患者105例,患者均于低压通气支持下实施SBT,根据序贯拔管后果将患者分为ES组(拔管成功)75例和EF组(拔管失败)30例,比较两组患者不同时间点[SBT前(T0),SBT后5min(T1),SBT后30min(T2),SBT后60min(T3),SBT后120min(T4)]ScvO2和RSBI的差异,并采用ROC曲线下面积评估两组患者对序贯拔管后果的预测价值差异。结果 T0、T1时,ScvO2、RSBI在ES组和EF组间比较,差异无统计学意义(P>0.05);T2、T3、T4,ScvO2、RSBI两指标ES组和EF组间比较差异有统计学意义(P<0.05)。根据ROC曲线,ScvO2、RSBI均与SBT序贯拔管失败风险有显著相关性(P<0.05),ScvO2(AUCmax)预测的敏感度和特异度显著高于RSBI,差异有统计学意义(P<0.05)。结论 ScvO2和RSBI对SBT序贯拔管后果具有显著预测价值,但前者预测作用更为显著。

作者刘亚林赵中林邹帅王晓睿张婷

机构地区重庆市第五人民医院重症医学科

出处《重庆医学》 CAS 北大核心 2015年第17期2421-2423,共3页 Chongqing medicine

关键词中心静脉血氧饱和度浅快呼吸指数自主呼吸实验序贯拔管

分类号 R459.7 [医药卫生—急诊医学]

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