摘要
目的:分析有创机械通气治疗的慢性阻塞性肺疾病急性加重(AECOPD)患者撤机困难相关影响因素。方法:选取本院108例AECOPD患者,根据撤机情况分为撤机成功组与撤机失败组,通过多因素Logistic回归分析有创机械通气治疗的AECOPD患者撤机困难的影响因素。结果:分为撤机成功组90(83.33%)与撤机失败组18(16.66%)例,两组患者的年龄差异均具有统计学意义(P<0.05);通过非条件单因素和logistic回归分析影响AECOPD患者撤机困难的的危险因素是:年龄、拔管时WBC、CRP、ALB、通气时间,其差异比较均具有统计学意义(P<0.05)。结论:年龄、拔管时WBC、CRP、ALB、通气时间是AECOPD患者撤机困难的的危险因素。
Objective：To analyze the related factors of weaning from acute exacerbation of chronic obstructive pulmonary disease（AECOPD） treated by invasive mechanical ventilation.Methods：108 cases of AECOPD patients in our hospital were selected.According to weaning condition the weaning patients were divided into weaning failure group and weaning failure group,multivariate Logistic regression analysis of factors affecting weaning from ventilator failure in AECOPD patients treated with invasive mechanical ventilation.Results：Divided into successful weaning group 90（83.33%） and weaning failure group 18（16.66%） cases.the age difference between the two groups were statistically significant（P〈0.05）;through a single factor non conditional logistic regression analysis and risk AECOPD weaning patients with difficult factors are：age,pull WBC,CRP,ALB pipe,ventilation time,the differences were statistically significant（P〈0.05）.Conclusion：Age,extubation time,WBC,CRP,ALB and ventilation time are risk factors for weaning from AECOPD.
出处
《中国医疗器械信息》
2018年第2期3-5,共3页
China Medical Device Information
关键词
有创机械通气
慢性阻塞性肺疾病急性加重
撤机困难
影响因素
invasive mechanical ventilation, acute exacerbation of chronic obstructive pulmonary disease, weaning difculties, infuencing factors
