Establishment of a risk warning model for respiratory failure in patients with acute exacerbation of chronic obstructive pulmonary disease and analysis of response strategies

doi:10.3760/cma.j.cn441417-20241012-05030

International Medicine and Health Guidance News ›› 2025, Vol. 31 ›› Issue (5): 849-854.DOI: 10.3760/cma.j.cn441417-20241012-05030

• Nursing Research • Previous Articles Next Articles

Establishment of a risk warning model for respiratory failure in patients with acute exacerbation of chronic obstructive pulmonary disease and analysis of response strategies

Fan Yuanyuan¹, Pang Xiaoqian¹, Guo Zhen²

¹ RICU, Henan Chest Hospital, Zhengzhou 450000, China; ² Department of Medical Laboratory, Henan Chest Hospital, Zhengzhou 450000, China

Received:2024-10-12 Online:2025-03-01 Published:2025-03-14
Contact: Fan Yuanyuan, Email: hfstrgcz356@126.com
Supported by:
Henan Province Medical Science and Technology Research Plan (LHGJ20230118)

AECOPD合并呼吸衰竭的风险预警模型建立及应对策略分析

樊媛媛¹　庞晓倩¹　郭祯²

¹河南省胸科医院呼吸重症监护病房，郑州 450000；²河南省胸科医院医学检验科，郑州 450000

通讯作者: 樊媛媛，Email：hfstrgcz356@126.com
基金资助:
河南省医学科技攻关计划（LHGJ20230118）

Abstract

Key words:

Acute exacerbation of chronic obstructive pulmonary disease, Respiratory failure, Risk warning model, Diagnostic efficacy

关键词:

慢性阻塞性肺疾病急性加重期, 呼吸衰竭, 风险预警模型, 诊断效能

Fan Yuanyuan, Pang Xiaoqian, Guo Zhen.

Establishment of a risk warning model for respiratory failure in patients with acute exacerbation of chronic obstructive pulmonary disease and analysis of response strategies [J]. International Medicine and Health Guidance News, 2025, 31(5): 849-854.

樊媛媛　庞晓倩　郭祯.

AECOPD合并呼吸衰竭的风险预警模型建立及应对策略分析 [J]. 国际医药卫生导报, 2025, 31(5): 849-854.

References

[1] Liew CQ, Hsu SH, Ko CH, et al. Acute exacerbation of chronic obstructive pulmonary disease in United States emergency departments, 2010-2018[J]. BMC Pulm Med, 2023, 23(1): 217. DOI: 10.1186/s12890-023-02518-0.
[2] 孙佳乐,崔雅璇,张新征,等. 无创正压通气与经鼻高流量氧疗治疗慢性阻塞性肺疾病急性加重期轻度呼吸衰竭患者的疗效观察[J]. 实用医院临床杂志,2024,21(1):68-71. DOI:10.3969/j.issn.1672-6170.2024.01.014.
[3] 杨娜娜,曾慧,符丹丹,等. 慢性阻塞性肺疾病急性加重期患者肺康复分级方案的构建与应用[J]. 中华护理杂志,2024,59(7):773-781. DOI:10.3761/j.issn.0254-1769.2024. 07.001.
[4] Pratt AJ, Purssell A, Zhang T, et al. Complexity in clinical diagnoses of acute exacerbation of chronic obstructive pulmonary disease[J]. BMC Pulm Med, 2023, 23(1):298. DOI: 10.1186/s12890-023-02587-1.
[5] 陈雯,张湘燕,叶贤伟,等. 慢性阻塞性肺疾病频繁急性加重与合并呼吸衰竭对呼吸道微生态的影响[J]. 中国呼吸与危重监护杂志,2023,22(5):305-310. DOI:10.7507/1671-6205.202208065.
[6] 高永祥,张晋昕. Logistic回归分析的样本量确定[J]. 循证医学,2018,18(2):122-124. DOI:10.12019/j.issn.1671-5144. 2018.02.015.
[7] 中华医学会呼吸病学分会慢性阻塞性肺疾病学组,中国医师协会呼吸医师分会慢性阻塞性肺疾病工作委员会. 慢性阻塞性肺疾病诊治指南(2021年修订版)[J]. 中华结核和呼吸杂志,2021,44(3):170-205. DOI:10.3760/cma.j.cn112147-20210109-00031.
[8] 冯靖,朱宝玉,陈宝元. 慢性阻塞性肺疾病"临界呼吸衰竭"状态[J]. 中华结核和呼吸杂志,2003,26(5):308-309. DOI:10.3760/j:issn:1001-0939.2003.05.017.
[9] Knaus WA, Draper EA, Wagner DP, et al. APACHE II: a severity of disease classification system[J]. Crit Care Med, 1985, 13(10):818-829.
[10] Qian Y, Cai C, Sun M, et al. Analyses of factors associated with acute exacerbations of chronic obstructive pulmonary disease: a review[J]. Int J Chron Obstruct Pulmon Dis, 2023, 18: 2707-2723. DOI: 10.2147/COPD.S433183.
[11] Nishimura K, Kusunose M, Sanda R, et al. Frailty and exacerbation of chronic obstructive pulmonary disease: is there any association? [J]. Int J Chron Obstruct Pulmon Dis, 2024, 19: 1131-1139. DOI: 10.2147/COPD.S455316.
[12] Zhang Y, Zheng SP, Hou YF, et al. A predictive model for frequent exacerbator phenotype of acute exacerbations of chronic obstructive pulmonary disease[J]. J Thorac Dis, 2023, 15(12): 6502-6514. DOI: 10.21037/jtd-23-931.
[13] 顾馨雨,於江泉,杨艳霞,等. 慢性阻塞性肺疾病急性加重期并发呼吸衰竭危险因素的Meta分析[J]. 实用心脑肺血管病杂志,2023,31(5):82-88,95. DOI:10.12114/j.issn.1008-5971.2023.00.080.
[14] 吴国斌,陈兴峰,黄芳,等. 慢性阻塞性肺疾病急性加重期并发呼吸衰竭有创机械通气患者撤机失败的危险因素分析[J]. 中国中西医结合急救杂志,2023,30(1):46-50. DOI:10.3969/j.issn.1008-9691.2023.01.010.
[15] 李润萍,王优,贾鹏. 血清C反应蛋白和D-二聚体水平与慢性阻塞性肺疾病急性加重期伴Ⅱ型呼吸衰竭患者无创机械通气治疗预后的相关性研究[J]. 临床内科杂志,2023,40(5):326-329. DOI:10.3969/j.issn.1001-9057.2023. 05.010.
[16] 李江涛,王媛,王亮,等. 血清HDAC2和SP-D对经鼻高流量氧疗治疗慢性阻塞性肺疾病急性加重期合并轻中度Ⅱ型呼吸衰竭患者预后的诊断价值[J]. 中国医药导报,2022,19(10):25-29.DOI:10.20047/j.issn1673-7210.2022. 10.005.
[17] 郭大伟,李维,赵雪林. 慢性阻塞性肺疾病并发Ⅱ型呼吸衰竭患者血清miR-221-3p和miR-149-3p表达水平及其与预后的相关性分析[J]. 现代检验医学杂志,2023,38(4):72-77. DOI:10.3969/j.issn.1671-7414.2023.04.013.
[18] 王育林,万俊,李雪翔,等.血清降钙素原、D-二聚体、诱骗受体3对无创通气治疗慢性阻塞性肺疾病急性加重合并呼吸衰竭患者预后的评估价值分析[J].中国呼吸与危重监护杂志,2023,22(3):153-158.
[19] Hawkins NM, Nordon C, Rhodes K, et al. Heightened long-term cardiovascular risks after exacerbation of chronic obstructive pulmonary disease[J]. Heart, 2024, 110(10): 702-709. DOI: 10.1136/heartjnl-2023-323487.
[20] 王军,周春香,张晓枫. 低糖高脂营养治疗对老年慢性阻塞性肺疾病急性加重期并发呼吸衰竭患者肺功能及免疫力的影响[J]. 广西医学,2022,44(17):1978-1981. DOI:10.11675/j.issn.0253-4304.2022.17.08.
[21] 黄振,刘乃嘉. 血乳酸联合APACHE Ⅱ评分预测慢性阻塞性肺疾病急性加重期并呼吸衰竭预后的价值[J]. 局解手术学杂志,2023,32(9):795-799. DOI:10.11659/jjssx.11E022003.
[22] 周丹,陈灵敏,陈钢强,等. 构建Nomogram预测模型探讨慢性阻塞性肺疾病患者并发呼吸衰竭的危险因素[J]. 中国急救医学,2023,43(5):383-387. DOI:10.3969/j.issn.1002- 1949.2023.05.009.
[23] 丁彦淳,吴华,彭艳艳. 过渡期护理模式在慢性阻塞性肺疾病合并呼吸衰竭患者中的应用效果[J]. 护士进修杂志,2022,37(24):2254-2257. DOI:10.16821/j.cnki.hsjx.2022. 24.011.
[24] Troosters T, Janssens W, Demeyer H, et al. Pulmonary rehabilitation and physical interventions[J]. Eur Respir Rev, 2023, 32(168): 220222. DOI: 10.1183/16000617. 0222-2022.
[25] 袁法伟,冯辉斌,尹欢,等. 呼吸衰竭患者体外膜肺氧合治疗后心率、氧合指数改变及APACHEⅡ与SOFA评分对预后的预测价值[J]. 国际医药卫生导报,2022,28(10):1338-1342. DOI:10.3760/cma.j.issn.1007-1245.2022. 10.002.

Establishment of a risk warning model for respiratory failure in patients with acute exacerbation of chronic obstructive pulmonary disease and analysis of response strategies

AECOPD合并呼吸衰竭的风险预警模型建立及应对策略分析

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