摘要
目的分析血管外肺水指数(EVLWI)评估脓毒性休克(SS)患者预后的价值。方法选取贵阳市第二人民医院2018年1月至2020年1月收治的84例SS患者,对症治疗后随访28 d。统计随访期患者预后情况,均在入院时测定EVLWI,绘制受试者工作曲线(ROC)检验EVLWI预测SS患者预后的价值。结果随访期间,84例SS患者中存活65例,占比77.38%(65/84);病死19例,占比22.62%(19/84)。不同预后患者性别、年龄、入院时序贯器官衰竭(SOFA)分数、液体复苏量比较,差异无统计学意义(P>0.05);病死患者EVLWI高于存活患者,差异有统计学意义(P<0.05)。经线性回归分析模型分析后,EVLWI升高是影响预后的高危因素(OR>1,P<0.05)。绘制ROC曲线,EVLWI评估SS患者预后的线下面积(AUC)是0.887,评估价值较好。结论将EVLWI用于SS患者预后的临床评估中,能获得较好的评估效果。
Objective To evaluate the prognostic value of extravascular lung water index(EVLWI)in patients with septic shock(SS).Methods A total of 84 SS patients from January 2018 to January 2020 in Guiyang Second People's Hospital were selected and followed up for 28 days after symptomatic treatment.EVLWI was measured at admission.Receiver operating curve(ROC)was drawn to test the prognostic value of EVLWI in SS patients.Results During the follow-up period,65 cases survived,accounting for 77.38%(65/84),and 19 cases died,accounting for 22.62%(19/84).There was no significant difference in gender,age,sequential organ failure(sofa)score and fluid resuscitation volume among patients with different prognosis(P>0.05);EVLWI of dead patients was higher than that of survival patients(P<0.05).Logistic analysis showed that EVLWI was a high risk factor for prognosis(OR>1,P<0.05).According to ROC curve,the AUC of EVLWI in evaluating the prognosis of SS patients was 0.887.Conclusion Wils can be used to evaluate the prognosis of patients.
作者
莫逊
何莲
余姗姗
张雯
胡洁
MO Xun;HE Lian;YU Shanshan;ZHANG Wen;HU Jie(Guiyang Second People's Hospital,Guiyang,Guizhou 550001,China)
出处
《大医生》
2020年第16期106-108,共3页
Doctor
关键词
脓毒症休克
脓毒症
血管外肺水指数
septic shock
sepsis
extravascular pulmonary water index
