Effect of different liquid management strategies on the prognosis of acute respiratory distress syndrome

Objective To study the effect of different fluid- management strategies on the patients with acute respiratory distress syndrome( ARDS). Methods The patients( 100 cases) with ARDS in our hospital from July 2008 to July 2012 were randomly divided into two groups: group CFMS( 50 cases) and group LFMS( 50 cases). The EVLW,mortality rate, mechanical ventilation time,ICU time and postoperative patients quality of life between the two groups were compared. Results( 1) the volume of liquid intake of the group CFMS in 24 hours was less than the group LFMS( P 0. 05),the volume of liquid outtake of group CFMS in 24 hours was much more than the group LFMS( P 0. 05). The dropping speed of EVLW in group CFMS was faster than the group LFMS LS( P 0. 05).( 2) The mortality rate between the two groups had no statistical difference( P 0. 05),but mechanical ventilation time and ICU time of LFMS group were significantly less than CFMS group( P 0. 05).( 3) According to the QLQC- 30 life quality evaluation standard,the quality indexes of the group LFMS were significantly higher than the CFMS group( P 0. 05). Conclusion The conservative fluid management strategy is much better to reduce lung water outside blood vessels and improves pulmonary function and life quality to some extent.