|
|
|
| The Value of Composite Index A-aDO2,a/A Ratio and PaO2 /FiO2 in Predicting Respiratory Distress with Respiratory Failure in Late Preterm Infants |
| Lv Rui |
| Department of Obstetrics,Puyang Maternal and Child Health Hospital,Puyang 457000,Henan,China |
|
|
|
|
Abstract Objective To investigate the predictive value of composite index alveolar arterial oxygen difference（A-aDO2）,arterial alveolar oxygen partial pressure ratio（a/A）ratio and oxygenation index（PaO2/FiO2）in predicting respiratory distress with respiratory failure in late preterm infants value research.Methods According to the simple random number table method,80 cases of late preterm infants with respiratory distress syndrome were selected,40 cases did not require mechanical ventilation as the control group,and 40 cases required mechanical ventilation as the observation group.To analyze the prediction of respiratory failure parameters on the need for mechanical ventilation in late preterm infants with respiratory distress,the composite index A-aDO2,the difference between a/A ratio and PaO2/FiO2,the sensitivity,specificity,positive predictive value,negative predictive value,Positive rate,negative rate,Youden index and make ROC curve.Results There were no differences in the AUC curves of the maximum A-aDO2,the minimum a/A ratio,and the minimum PaO2/FiO2 between the two groups（P>0.05）.The three AUC curves were higher than that of PaCO2,and the A-aDO2 curve exceeded the maximum FiO2 curve（P<0.05）.A-aDO2>200 mmHg was proved to be the most effective index for predicting respiratory failure,and all children in the observation group reached the standard of A-aDO2>200 mmHg.Conclusion The composite index A-aDO2,a/A ratio and PaO2/FiO2 can reasonably predict respiratory distress with respiratory failure in late preterm infants,and the prediction effect is obvious,which has a certain research value.
|
|
Received: 07 July 2022
|
|
|
|
|
|
[1] 容蓉,班奕,周肖滢,等.呼吸窘迫综合征晚期早产儿呼吸机相关性肺炎发生情况及影响因素分析[J].临床误诊误治,2019,32(10):76-79.
[2] 黄雨茅,郑戈,涂芳芳.不同分娩方式对晚期早产儿呼吸系统疾病影响的回顾性研究[J].中国妇幼健康研究,2016,27(9):1083-1086.
[3] 张浩,王小虎.双水平正压通气联合珂立苏治疗晚期早产儿呼吸窘迫综合征效果观察[J].山东医药,2016,56(46):83-85.
[4] 陈海苑. 晚期早产儿呼吸衰竭复合指数相关性研究[J].海南医学院学报,2012,18(12):1802-1805.
[5] 袁二伟,郭华贤,许津莉,等.晚期早产儿小于胎龄儿围生期呼吸系统并发症的危险因素研究[J].中国全科医学,2021,668(5):78-81,99.
[6] 王博,段翌,孙莹,等.胎龄<34周呼吸窘迫综合征早产儿纠正年龄40周时肺功能监测[J].中华急诊医学杂志,2017,26(6):627-631. |
| [1] |
. [J]. journal1, 2023, 43(2): 103-105. |
| [2] |
Wang Yage. High-Risk Factors of Focal White Matter Injury in Late Preterm Infants and Their Influence on the Development of Nervous System[J]. journal1, 2023, 43(1): 48-50. |
| [3] |
. [J]. journal1, 2022, 42(6): 95-96. |
| [4] |
Li Guozheng. Analysis of the Factors Influencing the Prognosis of the Elderly Patients With Severe Pneumonia and Respiratory Failure[J]. journal1, 2022, 42(3): 9-11. |
| [5] |
. [J]. journal1, 2022, 42(2): 72-73. |
| [6] |
Zhang Zheng. Application Comparison of Different Ventilation Modes in Mechanical Ventilation of Newborns With Respiratory Failure[J]. journal1, 2022, 42(1): 49-51. |
|
|
|
|
2023, Vol. 43 
