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中国科学引文数据库(CSCD)来源期刊

中华重症医学电子杂志 ›› 2026, Vol. 12 ›› Issue (01) : 31 -36. doi: 10.3877/cma.j.issn.2096-1537.2026.01.006

专题笔谈

慢病呼吸机依赖高危人群的特征及其危险因素
黄絮()   
  1. 100029 北京,国家呼吸医学中心 呼吸和共病全国重点实验室 呼吸系统疾病国家临床医学研究中心 中国医学科学院呼吸病学研究院 中日友好医院呼吸中心呼吸与危重症医学科
  • 收稿日期:2025-10-11 出版日期:2026-02-28
  • 通信作者: 黄絮
  • 基金资助:
    四大慢病重大专项(2024ZD0530000,2024ZD0530001,2024ZD0522700)

Characteristics and risk factors of patients with chronic diseases at high risk for ventilator dependence

Xu Huang()   

  1. National Center for Respiratory Medicine, State Key Laboratory of Respiratory Health and Multimorbidity, National Clinical Research Center for Respiratory Diseases, Institute of Respiratory Medicine, Chinese Academy of Medical Sciences, Department of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing 100029, China
  • Received:2025-10-11 Published:2026-02-28
  • Corresponding author: Xu Huang
引用本文:

黄絮. 慢病呼吸机依赖高危人群的特征及其危险因素[J/OL]. 中华重症医学电子杂志, 2026, 12(01): 31-36.

Xu Huang. Characteristics and risk factors of patients with chronic diseases at high risk for ventilator dependence[J/OL]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2026, 12(01): 31-36.

呼吸机依赖是ICU中常见的临床挑战,合并慢性疾病(简称慢病)的机械通气患者更易发生呼吸机依赖,且与不良预后和巨大的医疗负担密切相关。本文着眼于合并呼吸系统、心血管系统、神经肌肉系统、内分泌系统及慢性肾脏病等主要慢病人群,综述其发生呼吸机依赖的流行病学现状、人群特征及高危因素,为特定慢病人群进行更精细化的亚组分析和多维度指标探索并实现早期精准识别和干预提供依据。

Ventilator dependence is a common clinical challenge in the ICU. Mechanically ventilated patients with comorbidities are more likely to develop ventilator dependence, which is closely associated with poor prognosis and a significant healthcare burden. This review focuses on populations with major chronic diseases, affecting different systems, including the respiratory, cardiovascular, neuromuscular, and endocrine systems, as well as chronic kidney disease. It summarizes the current epidemiology, population characteristics, and high-risk factors for ventilator dependence in these populations. The goal is to provide a basis for more refined subgroup analysis, exploration of multi-dimensional indicators, and ultimately the achievement of early and precise identification and intervention for specific chronic disease populations.

表1 呼吸机依赖高危因素(基础疾病相关)
表2 呼吸机依赖高危因素(治疗及并发症相关)
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