论文部分内容阅读
目的:抢救重症呼吸衰竭老年患者中应用有创无创序贯机械通气的临床价值。方法:随机选取2014年5月至2015年8月中山市第二人民医院重症呼吸衰竭老年患者80例,分为观察组和对照组各40例。对照组给予持续性有创机械通气治疗,观察组实施有创无创序贯机械通气治疗,并分析两组患者的临床效果。结果:对照组的p H值、PaO_2、SaO_2明显低于观察组,差异具有统计学意义(P<0.05);此外观察组的呼吸、心率、Pa CO2,显著低于对照组,差异具有统计学意义(P<0.05);而治疗后的72 h,观察组撤机成功显著高于对照组,差异具有统计学意义(P<0.05);对照组的病死率、再插管率以及呼吸相关性肺病明显高于观察组,差异具有统计学意义(P<0.05);观察组的应激反应、平均恢复正常时间及住ICU时间、胸片征象消失时间、PaO_2/FiO_2、总机械通气时间、有创通气时间、住院费用、住院时间显著低于对照组(P<0.05)。结论:对重症呼吸衰竭老年患者实施有创无创序贯机械通气治疗,能够降低并发症发生率,提高治疗效果。
Objective: To evaluate the clinical value of invasive noninvasive sequential mechanical ventilation in elderly patients with severe respiratory failure. Methods: Eighty elderly patients with severe respiratory failure in Zhongshan Second People’s Hospital were randomly selected from May 2014 to August 2015, and divided into observation group and control group with 40 cases in each group. The control group received continuous invasive mechanical ventilation, and the observation group received invasive noninvasive sequential mechanical ventilation. The clinical effects of the two groups were analyzed. Results: The values of p H, PaO 2 and SaO 2 in the control group were significantly lower than those in the observation group (P <0.05). In addition, the respiration, heart rate and PaCO 2 in the observation group were significantly lower than those in the control group (P <0.05). At 72 h after treatment, the weaning success rate in the observation group was significantly higher than that in the control group (P <0.05). The mortality, reintubation rate, and respiration rate in the control group The lung disease was significantly higher than the observation group, the difference was statistically significant (P <0.05); the observation group of stress response, the average recovery time and ICU stay time, chest X-ray signs of disappearance of time, PaO_2 / FiO_2, total mechanical ventilation time, Ventilation time, hospital costs, hospitalization time was significantly lower than the control group (P <0.05). Conclusion: The implementation of invasive noninvasive mechanical ventilation in elderly patients with severe respiratory failure can reduce the incidence of complications and improve the therapeutic effect.