摘要
目的探讨机械通气联合血液滤过治疗重症急性胰腺炎并发急性呼吸窘迫综合征的临床效果。方法选定本院在2015年6月—2018年12月接治的154例重症急性胰腺炎并发急性呼吸窘迫综合征患者作为研究对象,将其随机分为观察组77例(机械通气联合血液滤过)与对照组77例(机械通气),比较两组患者的效果指标。结果观察组治疗后在住ICU时长、总机械通气时长、有创通气时长、病死率、VAP发生率、收缩压、HR及RR指标上均低于对照组,组间各数据比较,差异具有统计学意义(P <0.05)。结论机械通气联合血液滤过方法可有效改善重症急性胰腺炎并发急性呼吸窘迫综合征患者预后,有效缩短患者ICU住院时间及机械通气时间,降低患者病死率,效果显著。
Objective To investigate the clinical effects of mechanical ventilation combined with hemofiltration in the treatment of severe acute pancreatitis complicated with acute respiratory distress syndrome. Methods 154 patients with severe acute pancreatitis complicated with acute respiratory distress syndrome were selected as the subjects from June 2015 to December 2018 were selected as the study obj.They were randomly divided into observation group of 77 cases (mechanical ventilation combined with hemofiltration) and control group of 77 cases (mechanical ventilation).The effect indicators of the two groups were compared.Results After treatment,the length of ICU stay,total mechanical ventilation, invasive ventilation,mortality,incidence of VAP,systolic blood pressure, HR and RR in the observation group were lower than those in the control group,and there were significant differences between the two groups (P < 0.05).Conclusion Mechanical ventilation combined with hemofiltration can effectively improve the prognosis of patients with severe acute pancreatitis complicated with acute respiratory distress syndrome,effectively shorten the ICU hospitalization time and mechanical ventilation time,and reduce the mortality of patients,the effect is significant.
作者
曹先华
CAO Xianhua(Department of Critical Care Medicine,Zaozhuang Mining Group Zaozhuang Hospital,Zaozhuang Shandong 277100,China)
出处
《中国继续医学教育》
2019年第12期96-98,共3页
China Continuing Medical Education
关键词
探讨
重症急性胰腺炎
机械通气联合血液滤过
急性呼吸窘迫综合征
效果
discussion
severe acute pancreatitis
mechanical ventilation combined with hemofiltration
acute respiration
distress syndrome
effect
