CAJ | 학술논문

目的：探讨早期无创正压通气在重症肺炎中的效果。方法：选取2010年1月～2013年10月我科收治的重症肺炎46例，在常规治疗上，治疗组31例给予早期无创通气，记录二组呼吸频率、心率、PH、PaO2、PaCO2、气管插管率等，作统计学分析。结果：治疗48h后，治疗组呼吸窘迫得到明显缓解，氧分压改善，心率下降，气管插管率降低，有显著差异（P＜0.05）， PH、PaCO2的变化无统计学意义（P＞0.05）。结论：重症肺炎患者早期使用无创正压通气治疗，可以纠正缺氧，改善氧合及自觉症状，一定程度上避免有创通气，从而改善预后。
목적：탐토조기무창정압통기재중증폐염중적효과。방법：선취2010년1월～2013년10월아과수치적중증폐염46례，재상규치료상，치료조31례급여조기무창통기，기록이조호흡빈솔、심솔、PH、PaO2、PaCO2、기관삽관솔등，작통계학분석。결과：치료48h후，치료조호흡군박득도명현완해，양분압개선，심솔하강，기관삽관솔강저，유현저차이（P＜0.05）， PH、PaCO2적변화무통계학의의（P＞0.05）。결론：중증폐염환자조기사용무창정압통기치료，가이규정결양，개선양합급자각증상，일정정도상피면유창통기，종이개선예후。
Objective: To investigate the efficacy of early-stage noninvasive positive pressurev entilation for severe pneumonia. Methods:46 cases with severe pneumonia in our department from January, 2010 to October,2013 were selected. Besides the routine therapy, the cases in the treatment group were tr eated with ear ly-stage no ninvasive positive pressure v entilation. The resp iratory frequency, heart rate, PH, PaO2,PaCO2, therate of endotr acheal intubation of th e groups were recorded and an alyzed. Results:After 48h, respiratory distress in the was obviously relieved, ox ygen partial pressure was improved, heart ra te was reduced and tracheal intub ation rate was decreased with s ignificant difference (P< 0.05), but the changes of PH,PaCO2 had no statistica l significance (P>0.05). Conclusion:The patients with severe pneumonia treated with early-stage noninvasive positive pressure ventilation can improve oxygenation and symptoms. To some extent, this treatment avoids invasive mechanical ventilation and improves the prognosis.