有创无创序贯机械通气治疗急性呼吸衰竭38例的临床研究

http://www.100md.com 2010年11月5日《中国实用医药》 2010年第31期

     【摘要】目的探讨有创无创序贯机械通气在急性呼衰治疗的临床意义。方法将38例急性呼衰患者随机分为两组,其中观察组给予有创无创序贯机械通气,对照组给予有创机械通气。观察患者病情变化、血气分析、呼吸机相关肺炎、死亡数、机械通气时间。结果两组患者在有创通气时间、机械通气时间、住院时间,住院患者死亡率比较具有显著性差异。结论有创无创序贯机械通气可降低急性呼吸衰竭患者呼吸机相关肺炎发生率,缩短机械通气和住院时间,提高疗效。

    【关键词】

    有创无创序贯机械通气;呼吸衰竭;有创机械通气

    Clinical Research of Sequential Invasive to Noninvasive Ventilation on Treatment of 38 cases of Acute Respiratory Failure

    YE Junqiang,JIANG Aizhong,YANG Longfeng,et al. People’s Hosptial of He Yuan City of Guangdong Province,He Yuan 51700,China

    【Abstract】 ObjectiveTo investigate the significance of sequential invasive to noninvasive ventilation on treaing of acute respiratory failure. Methods38 cases were randomly divided into 2 groups:20 cases in observation group received sequential invasive to noninvasive ventilation,18 cases in control group received sequential invasive ventilation.Observe the change of condition,blood gas analysis,ventilatorassociated pneumonia,death number,mechanical ventilation time. ResultsThe differences in sequential invasive ventilation time,mechanical ventilation time,the length of hospitalization and mortality of patients between observing and control group have statistical significance. ConclusionSequential invasive to noninvasive ventilation can reduce the incidence of VAP of acute respiratory failure patients,decrease mechanical ventilation time and the length of hospitalization,and improve therapeutic effects. ......

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