CAJ | 학술논문

目的：探讨无创双水平气道正压通气治疗不同病因致急性呼吸衰竭临床效果。方法选择急性呼吸衰竭患者共48例，根据不同病因分为观察组（心源性肺水肿）和对照组（重症肺炎）。两组均实施无创双水平气道正压通气治疗。观察两组治疗效果。结果观察组治疗后的动脉血气指标分别和对照组治疗6 h后的动脉血气指标比较，差异有统计学意义（P＜0.05）。观察组患者症状缓解时间、无创双水平正压通气治疗时间、住院时间、气管插管发生分别和对照组比较，差异有统计学意义（P＜0.05）。结论无创双水平气道正压通气对心源性肺水肿和重症肺炎所致急性呼吸衰竭均有显著治疗效果，但对心源性肺水肿所致急性呼吸衰竭效果更佳。
목적：탐토무창쌍수평기도정압통기치료불동병인치급성호흡쇠갈림상효과。방법선택급성호흡쇠갈환자공48례，근거불동병인분위관찰조（심원성폐수종）화대조조（중증폐염）。량조균실시무창쌍수평기도정압통기치료。관찰량조치료효과。결과관찰조치료후적동맥혈기지표분별화대조조치료6 h후적동맥혈기지표비교，차이유통계학의의（P＜0.05）。관찰조환자증상완해시간、무창쌍수평정압통기치료시간、주원시간、기관삽관발생분별화대조조비교，차이유통계학의의（P＜0.05）。결론무창쌍수평기도정압통기대심원성폐수종화중증폐염소치급성호흡쇠갈균유현저치료효과，단대심원성폐수종소치급성호흡쇠갈효과경가。
Objective To explore the effect of noninvasive bilevel positive airway pressure ventilation on acute respiratory failure caused by different etiology. Methods 48 cases with acute respiratory failure were divided into observation group (cardiogenic pulmonary edema) and control group (severe pneumonia) according to different causes. The two groups underwent noninvasive bilevel positive airway pressure ventilation. The therapeutic effect of two groups was observed . Results The arterial blood gas indexes in the observation group compared with those in control group after six hours treatment respectively,the difference was statistically significant (P<0.05).The symptoms time, noninvasive bilevel positive pressure ventilation time, hospitalization time, tracheal intubation occurred in the observation group compared with those in control group after treatment respectively, the difference was statistically significant (P<0.05).Conclusion The noninvasive bilevel positive airway pressure ventilation on acute respiratory failure caused by acute cardiogenic pulmonary edema or severe pneumonia has significant effect, but its efficacy in patients with cardiogenic pulmonary edema is better.