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目的:探讨血乳酸清除率和APACHEⅡ评分对呼吸率衰竭的影响。方法:本研究采用回顾性分析的方法,对近三年该院收治的100例呼吸衰竭的患者的临床资料进行回顾分析。结果:研究发现,APACHEⅡ评分≤20分组的预后明显优于21~30分组及>30分组(P<0.05),乳酸清楚率高的患者预后明显优于清除率低的组(P<0.05)。结论:呼吸衰竭患者的APACHEⅡ评分越高、乳酸清除率越低则其临床预后效果越差,APACHEⅡ评分给临床早期干预提供了临床依据,值得临床深入研究。
Objective: To investigate the effect of lactic acid clearance and APACHEⅡ score on respiratory failure. Methods: A retrospective analysis was used in this study to retrospectively analyze the clinical data of 100 patients with respiratory failure admitted to the hospital in recent three years. Results: The prognosis of APACHEⅡ score ≤20 group was significantly better than that of 21-30 group and> 30 group (P <0.05). The prognosis of patients with high lactic acid clear rate was significantly better than that of low elimination rate group (P <0.05). Conclusion: The higher the APACHEⅡscore in patients with respiratory failure, the lower the rate of lactic acid clearance is, the poorer the prognosis is. The APACHEⅡscores provide the clinical evidence for early clinical intervention, which deserves clinical further study.