呼吸机械与机械通风重症患者的放射性变化之间的早期关联COVID-19
Andrius Pranskunas1, Jurgita Zaveckiene2, Tautvydas Baranauskas3
1Department of Intensive Care Medicine, Lithuanian University of Health Sciences, Eiveniu G.2, 50161, Kaunas, Lithuania. andrius.pranskunas@lsmu.lt.
Internal and emergency medicine
|December 17, 2023
概括
胸部X射线上的Brixia得分与机械通风COVID-19患者的呼吸机制相关. 这种评分系统可能有助于预测呼吸系统参数,如符合性和驾驶压力.
科学领域:
- 关键护理医学 关键护理医学
- 肺部病理学 肺部病理学
- 放射学 放射学是一门学科.
背景情况:
- 布里克西亚评分系统用于通过胸部X射线 (CXR) 来评估COVID-19的严重程度.
- 机械通风患者的布里克西亚评分和呼吸机制之间的关联仍然未经检查.
研究的目的:
- 评估CXRBrixia得分与COVID-19重症患者机械通风第一天的呼吸机制之间的关联.
主要方法:
- 77名需要机械通风和CXR的COVID-19患者的回顾性分析.
- 应用Brixia评分系统并记录呼吸机制数据在通风的第一天.
- 相关性和回归分析,以评估布里克西亚分数,其区域和呼吸系参数 (静态合规性,驱动压力) 之间的关系.
主要成果:
- 在布里克西亚分数和静态合规性 (r=-0.38,p<0.001) 和驾驶压力 (r=0.33,p=0.003) 之间发现了显著的相关性.
- 多变量回归表明,Brixia得分的B区与静态合规性和驾驶压力有显著的关联.
- 后勤回归显示了Brixia得分,其区域 (A,B,C,D) 显著预测了驱动压力>14 cmH2O.
结论:
- 胸部X射线Brixia得分的变化与在机械通风患者的遵守和驾驶压力有关.
- 布里克西亚评分,特别是特定区域,可能为预测COVID-19患者的呼吸机制提供额外的信息.
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