摘要
目的:分析急性呼吸窘迫综合征ICU临床治疗效果。方法:选择从2017年5月~2019年4月于本院ICU治疗的急性呼吸窘迫综合征患者100例,分为a组与b组,其中a组50例为肺外源患者,b组50例为肺内源患者,2组患者均实施机械通气治疗及ICU临床治疗,观察a组与b组患者康复效率及预后情况等。结果:a组的ICU治疗时间(8.55±2.12)d、机械通气(6.68±2.11)d,b组的ICU治疗时间(12.44±2.32)d、机械通气(11.69±3.13)d,二者差异较大,具有统计学意义(P<0.05)。两周内a组患者的死亡率为10.00%,b组患者的死亡率为24.00%,前者明显少于后者,两组差异较大,具有统计学意义(P<0.05),三个月之后统计总死亡率3个月之后统计总死亡率,a组与b组对比并无显著不同,不具有统计学意义(P>0.05)。治疗前,a组的生存质量及b组的生存质量十分相近,P>0.05,治疗后,a组的生存质量为(77.68±8.78)分,b组的生存质量为(60.69±8.13)分,两组对比差异显著,P<0.05。结论:肺外源性急性呼吸窘迫综合征ICU机械通气治疗的预后相对较好,肺内源则存在起效慢、死亡率高、预后差等风险,应对患者展开综合性质量,确保临床疗效,提高患者生存质量。
Objective:Analyze the clinical treatment effect of acute respiratory distress syndrome ICU.Methods:100 patients with acute respiratory distress syndrome treated by ICU in our hospital from May 2017 to April 2019 were selected and divided into group a and group b,of which 50 patients in group a were exogenous lung patients and 50 in group b The patients were endogenous lung patients.Both groups of patients were treated with mechanical ventilation and ICU clinical treatment.The recovery efficiency and prognosis of patients in groups a and b were observed.Results:The ICU treatment time of group a(8.55±2.12)d,mechanical ventilation(6.68±2.11)d,and the ICU treatment time of group b(12.44±2.32)d,mechanical ventilation(11.69±3.13)d Large,with statistical significance(P<0.05).Within two weeks,the mortality rate of patients in group a was 10.00%,and the mortality rate of patients in group b was 24.00%.The former was significantly less than the latter.The difference between the two groups was large and statistically significant(P<0.05).Count the total mortality 3 months later,the total mortality was counted.There was no significant difference between group a and group b,and it was not statistically significant(P>0.05).Before treatment,the quality of life in group a and group b were very similar,P>0.05.After treatment,the quality of life in group a was(77.68±8.78)points,and the quality of life in group b was(60.69±8.13)points.The difference between the two groups was significant,P<0.05.Conclusion:Pulmonary exogenous acute respiratory distress syndrome ICU mechanical ventilation treatment has a relatively good prognosis.Pulmonary endogenous patients have risks of slow onset,high mortality,and poor prognosis.Comprehensive quality should be developed for patients to ensure clinical efficacy.Improve patient quality of life.
作者
王龙
WANG Long(Department of Critical Care Medicine,Wuqing District Traditional Chinese Medicine Hospital,Tianjin,Tianjin 301700)
出处
《中国医疗器械信息》
2020年第8期76-77,79,共3页
China Medical Device Information
关键词
急性呼吸窘迫综合征
肺内源性
肺外源性
临床治疗
acute respiratory distress syndrome
endogenous lung
exogenous lung
clinical treatment
