摘要
目的分析呼吸机支持治疗急性呼吸窘迫综合征(ARDS)的临床疗效及对患者肺功能、血气等相关指标的影响。方法将90例ARDS患者按随机数字表法分为对照组与观察组,对照组给予常规呼吸机治疗,观察组予以呼吸机综合支持治疗,比较两组患者的肺功能、血气、死亡率、呼吸机相关并发症发生率、呼吸机使用时间、ICU病房治疗时间等指标情况。结果经治疗,两组的肺功能、血气指标(PaO_(2)、SaO_(2)、PaCO_(2))均较治疗前明显改善,且观察组较对照组更优,组间比较差异均有统计学意义(均P<0.05);观察组病情恢复率高于对照组,临床死亡率及呼吸机相关肺炎发生率均低于对照组,呼吸机使用时间及ICU病房治疗时间均短于对照组,组间差异均有统计学意义(均P<0.05)。结论呼吸机综合支持治疗干预ARDS可提高疗效,有利于改善患者肺功能、缩短治疗时间、降低并发症发生率,为提高患者生活质量、节约医疗成本提供保障。
Objective To analyze the efficacy of ventilator in the treatment of acute respiratory distress syndrome(ARDS),and the influence of ventilator on lung function,blood gas and other related indexes.Methods 90 ARDS patients were divided into control group and observation group by random number table method.The patients in the control group were treated with conventional ventilator and in the observation group were treated with comprehensive support of ventilator.The lung function,blood gas,incidence of death and ventilator related complications,ventilator use time,ICU ward treatment time and other indexes of the two groups were compared.Results After treatment,the lung function and blood gas(PaO_(2)、SaO_(2)、PaCO_(2))in two groups were significantly improved compared to those before treatment,and which in observation group were better in control group.There were significant difference between the two groups(all P<0.05).The recovery rate of the observation group was higher than that of the control group.In the control group,the clinical mortality and the incidence of ventilator-associated pneumonia were lower than those in the control group.The ventilator use time and ICU treatment time were shorter than those in the control group,and the differences between the groups were statistically significant(all P<0.05).Conclusion The comprehensive supportive treatment of ventilators can improve the efficacy of ARDS,help improve patients.lung function,shorten treatment time,reduce the incidence of complications,and provide a guarantee for improving the life quality of patients and saving medical costs.
作者
林芳玉
LIN Fang-yu(Emergency Department,Heping Branch Hospital of General Hospital of Northern Theater Command,Shenyang,Liaoning,110055,China)
出处
《中国冶金工业医学杂志》
2021年第3期257-259,共3页
Chinese Medical Journal of Metallurgical industry
关键词
急性呼吸窘迫综合征
呼吸机支持
血气
肺功能
Acute respiratory distress syndrome
Ventilator support
Blood gas
Lung function
