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目的探讨呼吸衰竭有创机械通气的撤机方法、预后及并发症。方法选取30例呼吸衰竭患者,随机分为两组,观察组采用有创和无创序贯通气治疗,对照组采用单一有创通气治疗。记录并分析两组机械通气时间、呼吸机相关肺炎的发生率、住院时间、再插管率。结果观察组有创机械通气时间、再插管率、呼吸机相关肺炎发生率、住院时间均明显低于对照组,差异有统计学意义(P<0.05)。结论采用有创与无创序贯机械通气治疗呼吸衰竭,可以尽早撤机,达到缩短有创机械通气时间,降低呼吸机相关性肺炎发生率、再插管率及医疗费用的目的,可有效改善患者预后。
Objective To investigate the weaning method, prognosis and complications of invasive mechanical ventilation for respiratory failure. Methods Thirty patients with respiratory failure were selected and randomly divided into two groups. The observation group was treated with invasive and non-invasive sequential ventilation while the control group with single invasive ventilation. Record and analyze the two groups of mechanical ventilation time, the incidence of ventilator-associated pneumonia, length of stay, re-intubation rate. Results The duration of invasive mechanical ventilation, reintubation, ventilator-associated pneumonia and hospital stay in the observation group were significantly lower than those in the control group (P <0.05). Conclusion Using invasive and noninvasive sequential mechanical ventilation for respiratory failure can be as soon as possible to weaning, to shorten the duration of invasive mechanical ventilation, reduce the incidence of ventilator-associated pneumonia, re-intubation rate and medical expenses can effectively improve the patient Prognosis.