PaO^(2)、血乳酸水平预测急性呼吸衰竭并发多器官障碍的价值  

The Value of PaO^(2) and Blood Lactate Levels in Predicting Acute Respiratory Failure withConcurrent Multiple Organ Dysfunction

作　　者：江叶芹 王萍 王静影 杨红艳 Jiang Yeqin;Wang Ping;Wang Jingying;Yang Hongyan(Department of Blood Testing and Transfusion,Ninth 101st Hospital of the Chinese People's Liberation Army Joint Logistics Force,Hefei,Anhui 230001,China;Department of Health Medicine,Ninth 101st Hospital of the Chinese People's Liberation Army Joint Logistics Force,Hefei,Anhui 230001,China)

机构地区：[1]中国人民解放军联勤保障部队第九〇一医院检验输血科,安徽合肥230001 [2]中国人民解放军联勤保障部队第九〇一医院健康医学科,安徽合肥230001

出　　处：《现代科学仪器》2024年第5期221-226,共6页Modern Scientific Instruments

摘　　要：目的:探讨动脉血氧分压(PaO^(2))、血乳酸水平预测急性呼吸衰竭并发多器官障碍价值。方法:选取医院2020年5月~2022年12月收治的189例急性呼吸衰竭患者,分为发生组和未发生组,分析入院时PaO^(2)、血乳酸水平与多器官功能障碍关系,用ROC预测其预测价值。结果:189例受试者,多器官功能障碍发生率25.93%。发生组PaO^(2)低(P<0.05),血乳酸水平高(P<0.05)。Logistic回归:PaO^(2)、血乳酸是独立危险因素(P<0.05)。ROC:PaO^(2)与血乳酸联合预测AUC为0.988,灵敏度95.90%,特异度96.40%。结论:急性呼吸衰竭并发多器官障碍与PaO^(2)、血乳酸水平密切相关,具较高预测价值。Objective:To explore the value of arterial partial pressure of oxygen(PaO^(2))and blood lactate levels in predicting multiple organ dysfunction in acute respiratory failure.Method:189 patients with acute respiratory failure admitted to the hospital from May 2020 to December 2022 were selected and divided into an incidence group and a non incidence group.The relationship between PaO^(2),blood lactate levels,and multiple organ dysfunction at admission was analyzed,and the predictive value was predicted using ROC.Result:Among 189 subjects,the incidence of multiple organ dysfunction was 25.93%.The occurrence group had low PaO^(2)(P<0.05)and high blood lactate levels(P<0.05).Logistic regression:PaO^(2) and blood lactate were independent risk factors(P<0.05).ROC:PaO^(2) combined with blood lactate predicted an AUC of 0.988,with a sensitivity of 95.90%and a specificity of 96.40%.Conclusion:Acute respiratory failure complicated with multiple organ dysfunction is closely related to PaO^(2) and blood lactate levels,and has high predictive value.

关 键 词：动脉血氧分压 血乳酸 急性呼吸衰竭 多器官功能障碍 

分 类 号：R563.8[医药卫生—呼吸系统]