中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2015年
9期
1291-1293
,共3页
通气,人工%肺疾病,慢性阻塞性%呼吸衰竭
通氣,人工%肺疾病,慢性阻塞性%呼吸衰竭
통기,인공%폐질병,만성조새성%호흡쇠갈
Ventilation,artificial%Pulmonary disease chronic obstructive%Respiratory failure
目的 对序贯机械通气治疗慢性阻塞性肺疾病(慢阻肺)合并Ⅱ型呼吸衰竭的临床切换时机进行研究.方法 确诊为慢阻肺合并Ⅱ型呼吸衰竭的患者56例,依据治疗方法分为观察组和对照组各28例,患者均采用有创机械通气,对照组采用气管插管机械通气治疗;观察组则采用序贯通气治疗,比较两组临床效果.结果 观察组有创机械通气时间(3.2±0.9)d、对照组为(20.2±1.6)d,观察组总住院时间(13.6±2.5)d、对照组为(27.6±11.3)d,观察组费用(12 654.2±1 654.7)元、对照组为(29 658.9±3 654.2)元,观察组均优于对照组(t=13.26、6.35、16.35,均P＜0.05);观察组治愈率89.29％,高于对照组的71.43％(x2 =6.34,P＜0.05).结论 序贯机械通气治疗慢阻肺合并Ⅱ型呼吸衰竭的临床切换时机是治疗的关键因素,可以实现较好的治疗效果,减低肺炎的发生率,值得临床进一步推广和研究.
目的 對序貫機械通氣治療慢性阻塞性肺疾病(慢阻肺)閤併Ⅱ型呼吸衰竭的臨床切換時機進行研究.方法 確診為慢阻肺閤併Ⅱ型呼吸衰竭的患者56例,依據治療方法分為觀察組和對照組各28例,患者均採用有創機械通氣,對照組採用氣管插管機械通氣治療;觀察組則採用序貫通氣治療,比較兩組臨床效果.結果 觀察組有創機械通氣時間(3.2±0.9)d、對照組為(20.2±1.6)d,觀察組總住院時間(13.6±2.5)d、對照組為(27.6±11.3)d,觀察組費用(12 654.2±1 654.7)元、對照組為(29 658.9±3 654.2)元,觀察組均優于對照組(t=13.26、6.35、16.35,均P＜0.05);觀察組治愈率89.29％,高于對照組的71.43％(x2 =6.34,P＜0.05).結論 序貫機械通氣治療慢阻肺閤併Ⅱ型呼吸衰竭的臨床切換時機是治療的關鍵因素,可以實現較好的治療效果,減低肺炎的髮生率,值得臨床進一步推廣和研究.
목적 대서관궤계통기치료만성조새성폐질병(만조폐)합병Ⅱ형호흡쇠갈적림상절환시궤진행연구.방법 학진위만조폐합병Ⅱ형호흡쇠갈적환자56례,의거치료방법분위관찰조화대조조각28례,환자균채용유창궤계통기,대조조채용기관삽관궤계통기치료;관찰조칙채용서관통기치료,비교량조림상효과.결과 관찰조유창궤계통기시간(3.2±0.9)d、대조조위(20.2±1.6)d,관찰조총주원시간(13.6±2.5)d、대조조위(27.6±11.3)d,관찰조비용(12 654.2±1 654.7)원、대조조위(29 658.9±3 654.2)원,관찰조균우우대조조(t=13.26、6.35、16.35,균P＜0.05);관찰조치유솔89.29％,고우대조조적71.43％(x2 =6.34,P＜0.05).결론 서관궤계통기치료만조폐합병Ⅱ형호흡쇠갈적림상절환시궤시치료적관건인소,가이실현교호적치료효과,감저폐염적발생솔,치득림상진일보추엄화연구.
Objective To study clinical switching time of sequential mechanical ventilation on patients with chronic obstructive pulmonary disease with type Ⅱ respiratory failure.Methods The clinical data and laboratory data of 56 patients with chronic obstructive pulmonary disease combined with type Ⅱ respiratory failure,According to treatment intervention,56 cases were divided into the observation group and control group,each group with 28 cases,all adopted invasive mechanical ventilation patients,the control group adopted the trachea intubation and mechanical ventilation treatment;The observation group was the sequence through air treatment,The clinical effect of two groups was compared.Results The time of invasive mechanical ventilation in the observation group was (3.2 ± 0.9) d,the control group was (20.2 ± 1.6) d,the total length of hospital stay in the observation group was (13.6 ± 2.5) d,the control group was (27.6 ± 11.3) d,the cost in the observation group was (12 654.2 ± 1 654.7) yuan,the control group was (29 658.9 ± 3 654.2)yuan,the observation group was better than that of the control group,with statistical significance(P ＜ 0.05);The cure rates of the observation group was 89.29％,which was higher than 71.43％ of the control group (x2 =6.34,P ＜ 0.05).Conclusion Sequential mechanical ventilation in patients with chronic obstructive pulmonary disease with type Ⅱ respiratory failure of clinical switching time is the key factor for treatment,can achieve good treatment effect,reduce the incidence of pneumonia,which is worthy of clinical promotion and further study.
