摘要
目的:探讨有创-无创序贯性机械通气在产科重症患者中的疗效评价。方法:纳入采用有创-无创序贯性机械通气的产科重症患者47例,采用单纯有创机械通气的产科重症患者42例,记录患者行机械通气前的基本生命体征和病种分类,统计分析两组患者预后指标和并发症的发病情况。结果:序贯组与对照组一般情况基本处于同一基线水平,序贯组在住院病死率、有创通气时间、住ICU时间和VAP的发生率等情况都明显低于对照组(P<0.05)。结论:产科危重患者采用有创-无创序贯性机械通气预后指标和并发症的情况明显改善,有效地提高了治疗效果,有创-无创序贯性机械通气针对产科危重患者这类特殊人群,有很好的临床实用价值。
Objective：To investigate the efficacy of sequential non-invasive following short-term invasive mechanical ventilation in severe obstetric patients. Methods：Totally 47 patients in obstetric ICU using sequential non-invasive following short-term invasive mechanical ventilation were enrolled（sequential group）;42 patients in obstetric ICU using invasive mechanical ventilation were enrolled（control group）. Basic vital signs and disease classification were recorded before mechanical ventilation. Statistical analysis was made to compare the prognostic indicators and the incidence of complications between two groups. Results：Sequential group and control group had the same baseline in general. Intra-hospital mortality,invasive ventilation time,time in ICU and incidence of VAP were significantly lower in sequential group than in control group（P〈0.05）. Conclusion：Sequential non-invasive following short-term invasive mechanical ventilation could improve prognostic indicators and complications significantly for severe patients in obstetric department;it can effectively improve the therapeutic effect,therefore has broad clinical application prospects.
出处
《重庆医科大学学报》
CAS
CSCD
北大核心
2016年第2期196-200,共5页
Journal of Chongqing Medical University
基金
国家自然科学基金资助项目(编号:81570069)
关键词
有创-无创序贯性机械通气
重症产科
重症监护病房
sequential non-invasive following short-term invasive mechanical ventilation
severe obstetric
intensive care unit
