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目的:探讨ARDS患者胃肠功能障碍与预后的关系。方法:回顾性分析68例ARDS患者胃肠功能障碍临床资料,将其分为AGIⅠ级、Ⅱ级、Ⅲ级、Ⅳ级共4个级别组,评价胃肠功能障碍与急性生理和慢性健康(APACHEII)评分、多器官功能障碍综合征(MODS)及预后的关系。结果:所有ARDS患者均发生不同程度的胃肠功能障碍,随着程度的加深,ARDS患者APACHElI评分、MODS发生率和病死率等呈逐步增高的趋势,并且AGIⅣ级较AGIⅠ级和AGIⅡ级有统计学意义(P<0.05)。结论:ARDS患者胃肠功能障碍程度和预后相关。
Objective: To investigate the relationship between gastrointestinal dysfunction and prognosis in patients with ARDS. Methods: A retrospective analysis of 68 patients with gastrointestinal dysfunction ARDS clinical data, divided into AGI Ⅰ, Ⅱ, Ⅲ, Ⅳ a total of four levels, evaluation of gastrointestinal dysfunction and acute physiology and chronic health (APACHEII ) Score, multiple organ dysfunction syndrome (MODS) and prognosis. Results: All patients with ARDS had varying degrees of gastrointestinal dysfunction. With the deepening of the degree, the APACHElI score, the incidence of MODS and the mortality of ARDS patients tended to increase gradually, and there was statistics on AGI Ⅳ level compared with AGI Ⅰ and AGI Ⅱ Significance (P <0.05). Conclusion: The degree of gastrointestinal dysfunction in ARDS patients is related to the prognosis.