CAJ | 학술논문

目的：：探讨序贯机械通气疗法用于肺心病呼吸衰竭患者通气功能改善及预防呼吸机相关肺炎( VAP)的效果。方法：选择我院128例肺心病合并呼吸衰竭( III级)患者,随机等分为研究组和对照组,两组均常规给予雾化吸入、排痰、通气功能训练、持续低浓度吸氧等护理措施,对照组行有创机械通气,研究组在达到肺部感染控制窗(PIC窗)时转为无创机械通气。结果：研究组和对照组治疗前后比较PaO2值上升,PaCO2值下降(P<0.05),但治疗前后组间比较差异无统计学意义(P>0.05)。研究组有创通气时间、撤机时间、住院时间、VAP发生率分别明显低于对照组。结论：序贯通气疗法安全性好,可加快肺心病呼吸衰竭患者通气功能的改善与恢复速度,降低有创通气时间和VAP发生率,缩短撤机和住院时间。
목적：：탐토서관궤계통기요법용우폐심병호흡쇠갈환자통기공능개선급예방호흡궤상관폐염( VAP)적효과。방법：선택아원128례폐심병합병호흡쇠갈( III급)환자,수궤등분위연구조화대조조,량조균상규급여무화흡입、배담、통기공능훈련、지속저농도흡양등호리조시,대조조행유창궤계통기,연구조재체도폐부감염공제창(PIC창)시전위무창궤계통기。결과：연구조화대조조치료전후비교PaO2치상승,PaCO2치하강(P<0.05),단치료전후조간비교차이무통계학의의(P>0.05)。연구조유창통기시간、철궤시간、주원시간、VAP발생솔분별명현저우대조조。결론：서관통기요법안전성호,가가쾌폐심병호흡쇠갈환자통기공능적개선여회복속도,강저유창통기시간화VAP발생솔,축단철궤화주원시간。
Objective:To investigate the sequential mechanical ventilation therapy for lung ventilation function of patients with respiratory failure to improve and prevent the effect of ventilator associated pneumonia ( VAP) . Methods:Our hospital 128 cases of cor pulmonale combination of respiratory failure ( level III) patients,randomly divided into research group and the control group,two groups were routinely offer atomization inhalation,expectoration drainage and ventilation function training,continuous nursing measures,such as low concentration oxygen control invasive mechanical ventilation,the team in pulmonary infection control window when the window ( PIC) into noninvasive mechanical ventilation. Results:The treatment group and control group before and after comparison PaO2 value rise,PaCO2 value decreased (P<0. 05),but there was no statistically significant difference between groups(before and after)(P>0. 05). The team with the ventilation time, withdraw machine time,length of hospital stay,the incidence of VAP were significantly lower than the control group. Conclusion:Through gas treatment security good,can accelerate the improvement of the lung ventilation function of patients with respiratory failure and recovery rate,reduce invasive ventilation time and the incidence of VAP,shorten the ventilator and the length of time.