论文部分内容阅读
目的:研究无创-有创序贯通气治疗急性呼吸窘迫综合征的临床效果。方法:将我院2012年以来收治的34例确诊为急性呼吸窘迫综合征的患者平均分为治疗组和对照组,每组17例,对照组患者采用有创机械通气气管插管,治疗组采用无创机械通气,无创机械通气失败后给予行无创-有创序贯通气治疗,最后将两组患者治疗效果进行对比。结果:两组患者治疗3小时后PaO2/FiO2、呼吸频率(RR)、心率(HR)等均有明显改善,治疗组患者呼吸机相关性肺炎(VAP)发生率、总MV时间以及住院时间明显优于对照组患者。结论:无创-有创序贯通气对治疗急性呼吸窘迫综合征有十分重要的临床价值,应该在临床中大力推广应用。
Objective: To study the clinical effect of non-invasive and invasive ventilation in the treatment of acute respiratory distress syndrome. Methods: The 34 cases diagnosed as acute respiratory distress syndrome admitted to our hospital since 2012 were divided equally into treatment group and control group, with 17 cases in each group. The patients in control group were treated with invasive mechanical ventilation and tracheal intubation. The treatment group Non-invasive mechanical ventilation, noninvasive mechanical ventilation failed to give non-invasive - invasive sequential ventilation treatment, and finally the treatment effect of two groups of patients were compared. Results: The PaO2 / FiO2, respiratory rate (RR) and heart rate (HR) were significantly improved in both groups after 3 hours of treatment. The incidence of ventilator-associated pneumonia (VAP), total MV time and hospital stay in the two groups were significantly higher Better than the control group patients. CONCLUSION: Non-invasive and invasive sequential ventilation is of great clinical value in the treatment of acute respiratory distress syndrome and should be widely applied in clinical practice.