摘要
目的探讨不同机械通气方式对慢性阻塞性肺疾病(COPD)呼吸衰竭患者的治疗结果与机械通气延迟治疗时间的关系。方法对我院急诊科ICU收治的44例接受机械通气COPD呼吸衰竭患者,根据机械通气方式分为无创通气组和有创通气组,进一步根据治疗结果分为无创成功18例、无创失败4例、有创成功10例、有创失败12例,回顾性分析其临床资料,观察不同情况下接受机械通气的延迟时间。结果无创通气组的APACHEⅡ评分值、延迟时间、严重并发症发生比例、治疗失败比例低于有创通气组(P<0.05);同一种机械通气的治疗成功与失败者之间机械通气延迟时间比较差异有统计学意义(P<0.05)。结论不同机械通气方式之间的机械通气延迟时间不同,机械通气延迟时间影响COPD伴呼吸衰竭患者治疗结果。
Objective To explore the relationship between the mechanical ventilation for chronic obstructive puhnonary disease （COPD） patients with respirator failure and the delayed time of the treatment. Method In the emergency department and ICU during the past three years, 44 cases of COPD patients with respiratory failure were reviewed and divided into noninvasive ventilation group （ success = 18 cases, failure ：4 cases） and invasive ventilation group （ success ： 10 cases, failure= 12 cases）. The delayed time of the mechanical ventilation were investigated. Result In the invasive ventilation group, APACHE Ⅱ scores, the delyed time,the ratio of severe complications and proportion of treatment failures were much higher than those in non - invasive ventilation group （ P 〈0.05 ） ; the delayed time of mechanical ventilation in failure patients was much higher than that in successful patients （ P 〈 0.05 ）. Conclusion The delayed time of mechanical ventilation were different in the different mechanical ventilation. The delayed time have an effect on the curative effect of mechanical ventilation for COPD patients with respirator, failure.
出处
《中国急救医学》
CAS
CSCD
北大核心
2007年第11期1024-1026,共3页
Chinese Journal of Critical Care Medicine
关键词
机械通气
慢性阻塞性肺疾病
呼吸衰竭
Mechanical ventilation
Chronic obstructive pulrnonary disease（COPD）
Respiratory failure
