摘要
目的:探讨无创正压通气在急性呼吸窘迫综合征中应用的临床效果。方法:选择本院2009年2月-2012年1月收治的急性呼吸窘迫综合征患者84例作为研究对象,按照随机数字表法分为两组,对照组40例采用气管插管有创机械通气治疗,观察组44例采用无创正压通气治疗,对两组的治疗效果进行比较分析。结果:观察组总有效率为95.5%,对照组总有效率为92.5%,组间差异无统计学意义(P>0.05);治疗后观察组PaO2、SpO2显著高于对照组,PaCO2显著低于对照组,两组比较,组间差异有统计学意义(P<0.05);观察组不良反应发生率为2.3%,明显低于对照组的17.5%,组间差异有统计学意义(P<0.05)。结论:无创正压通气在急性呼吸窘迫症中应用的临床效果满意,能明显改善患者的呼吸状况,且安全性好,是临床首选的治疗方法。
Objective： To investigate the clinical effect for noninvasive positive pressure ventilation in the application of acute respiratory distress syndrome （ ARDS ） . Method： 84 cases of patients with acute respiratory distress syndrome in our hospital from February 2009 to January 2012 were chosen as the research object. According to the random number table, they were divided into two groups, the control group of 40 cases was taken with tracheal intubation invasive mechanical ventilation treatment, and the observation group of 44 cases was treated with noninvasive positive pressure ventilation treatment. The clinical effect for the two groups was taken for comparative analysis. Result： The total effective rate of the control group was 95.5%, the total effective rate was 92.5%. There was no significant difference （ 19〉 0.05 ） between the two groups. The PaO2, SpO2 were significantly higher than the control group after treatment, PaC02 was significantly lower than the control group. Compared between groups, there were significant differences （P〈0.05） . The adverse reactions was 2.3% in the observation group, significantly lower than the 17.5% of the control group, the group had significant difference （ P〈0.05 ） . Conclusion： The clinical effect of the application for noninvasive positive pressure ventilation in acute respiratory distress syndrome （ ARDS ） is satisfied, and can significantly improve the patient＇s respiratory status and security. It is the clinical preferred treatment.
出处
《中国医学创新》
CAS
2013年第11期25-26,共2页
Medical Innovation of China
关键词
急性呼吸窘迫综合征
气管插管
有创机械通气
无创正压通气
Acute respiratory distress syndrome
Intubation
Invasive mechanical ventilation
Noninvasive positive pressure ventilation
