PDF(Pubmed)
Abstract：
OBJECTIVE: This study was performed to explore the predictive value of the diaphragmatic thickness fraction (DTF) combined with the integrated pulmonary index (IPI) for the extubation outcome in patients with severe acute pancreatitis (SAP).
METHODS: This prospective study involved 93 patients diagnosed with SAP and treated with mechanical ventilation in our hospital from October 2020 to September 2023. The patients were divided into a successful extubation group (61 patients) and an extubation failure group (32 patients) based on the extubation outcomes. The predictive value of the DTF, IPI, and their combination for extubation failure was analyzed.
RESULTS: The DTF and IPI were independent risk factors for extubation failure in patients with SAP undergoing mechanical ventilation. In addition, the combination of the DTF and IPI showed predictive value for extubation failure in these patients.
CONCLUSIONS: The DTF and IPI hold predictive value for extubation failure in patients with SAP undergoing mechanical ventilation, and their combined use may improve the predictive efficiency.
METHODS: This prospective study involved 93 patients diagnosed with SAP and treated with mechanical ventilation in our hospital from October 2020 to September 2023. The patients were divided into a successful extubation group (61 patients) and an extubation failure group (32 patients) based on the extubation outcomes. The predictive value of the DTF, IPI, and their combination for extubation failure was analyzed.
RESULTS: The DTF and IPI were independent risk factors for extubation failure in patients with SAP undergoing mechanical ventilation. In addition, the combination of the DTF and IPI showed predictive value for extubation failure in these patients.
CONCLUSIONS: The DTF and IPI hold predictive value for extubation failure in patients with SAP undergoing mechanical ventilation, and their combined use may improve the predictive efficiency.
摘要：
目的：本研究旨在探讨膈肌厚度分数(DTF)联合综合肺指数(IPI)对重症急性胰腺炎(SAP)患者拔管结局的预测价值。
方法：这项前瞻性研究包括2020年10月至2023年9月在我院诊断为SAP并接受机械通气治疗的93例患者。根据拔管结果将患者分为拔管成功组（61例）和拔管失败组（32例）。DTF的预测价值，IPI,并对其联合拔管失败进行分析。
结果：DTF和IPI是SAP机械通气患者拔管失败的独立危险因素。此外,DTF和IPI的联合应用对这些患者的拔管失败具有预测价值.
结论：DTF和IPI对接受机械通气的SAP患者拔管失败具有预测价值，它们的结合使用可以提高预测效率。
方法：这项前瞻性研究包括2020年10月至2023年9月在我院诊断为SAP并接受机械通气治疗的93例患者。根据拔管结果将患者分为拔管成功组（61例）和拔管失败组（32例）。DTF的预测价值，IPI,并对其联合拔管失败进行分析。
结果：DTF和IPI是SAP机械通气患者拔管失败的独立危险因素。此外,DTF和IPI的联合应用对这些患者的拔管失败具有预测价值.
结论：DTF和IPI对接受机械通气的SAP患者拔管失败具有预测价值，它们的结合使用可以提高预测效率。
