CAJ | 학술논문

目的：探讨无创呼吸机在急性心力衰竭合并呼吸衰竭救治中的应用价值，为临床推广做出指导。方法选择该院自2011年2月—2013年2月收治的138例急性心力衰竭合并呼吸衰竭的患者为研究对象，将其完全随机分为两组。对照组给予常规对症支持治疗，观察组则在对照组的基础上再给予无创呼吸机治疗，比较两组患者的临床治疗效果。结果①观察组患者治疗后PaO2为（95.38±4.86）mmHg、SPO2为（98.19±2.85）%、PaCO2为（31.55±4.04）mmHg，对照组患者治疗后PaO2为（88.22±4.55）mmHg、SPO2为（92.16±2.43）%、PaCO2为（43.52±4.28）mmHg，其结果比较差异有统计学意义（P<0.05）；②观察组患者治疗后的有效率为92.75%，明显高于对照组73.91%，其结果比较差异有统计学意义（P<0.05）。结论无创呼吸机治疗急性心力衰竭合并呼吸衰竭的临床效果显著，能够改善患者的缺氧状态，提高抢救成功率，值得临床广泛推广。
목적：탐토무창호흡궤재급성심력쇠갈합병호흡쇠갈구치중적응용개치，위림상추엄주출지도。방법선택해원자2011년2월—2013년2월수치적138례급성심력쇠갈합병호흡쇠갈적환자위연구대상，장기완전수궤분위량조。대조조급여상규대증지지치료，관찰조칙재대조조적기출상재급여무창호흡궤치료，비교량조환자적림상치료효과。결과①관찰조환자치료후PaO2위（95.38±4.86）mmHg、SPO2위（98.19±2.85）%、PaCO2위（31.55±4.04）mmHg，대조조환자치료후PaO2위（88.22±4.55）mmHg、SPO2위（92.16±2.43）%、PaCO2위（43.52±4.28）mmHg，기결과비교차이유통계학의의（P<0.05）；②관찰조환자치료후적유효솔위92.75%，명현고우대조조73.91%，기결과비교차이유통계학의의（P<0.05）。결론무창호흡궤치료급성심력쇠갈합병호흡쇠갈적림상효과현저，능구개선환자적결양상태，제고창구성공솔，치득림상엄범추엄。
Objective To explore the risk factors that affect the quality of semen of males by analyzing the conventional morpholo-gy of semen of males among 237 infertile couples. Methods According to the factors that might affect the quality of the semen of males, the 237 pairs of infertile couples visited the Reproductive Medicine Research Center of Huizhou Municipal Central People's Hospital in 2012 were divided into 4 groups, group exposed to electromagnetic radiation from computer, group exposed to high temperature group, group exposed to volatile compounds and the control group who had not exposed to the above environments. And the quality of semen of the 4 groups was analyzed. Results The sperm concentration of the group exposed to electromagnetic radiation from computer was 19.97±12.28 (M/ml), and that of the control group was 29.72±22.18, the difference between the two groups was significant;the sperm motility and the percentage of normal morphology sperm was 15.94±11.73 (%), 1.85±1.05 (%), respectively, and that of the control group was 29.37 ±23.48, 3.93 ±2.58, respectively, the differences were significant. The sperm motility and the percentage of normal morphology sperm of the group exposed to high temperature was 13.45±10.91 (%),1.93±1.28 (%), respectively, and that of the control group was 29.37±23.48, 3.93±2.58, respectively, the differences were significant. Con-clusion The morphology of semen is mainly affected by electromagnetic radiation from computer and high temperature.