医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2015年
23期
166-167
,共2页
俯卧位%机械通气%重症肺炎
俯臥位%機械通氣%重癥肺炎
부와위%궤계통기%중증폐염
Prone position%Mechanical ventilation%Severe pneumonia
目的：探讨分析俯卧位机械通气应用于重症肺炎治疗的疗效及安全性。方法：对2013年1月-2015年1月我院收治的78例重症肺炎患者的临床资料进行回顾性调查分析，随机分成两组，每组39例，对照组行常规仰卧位机械通气，采取保护性通气模式；观察组行俯卧位机械通气，同样采用保护性通气模式，对比分析两组患者治疗后一天内不同时段的动脉血气分析、氧合参数及呼吸机参数的变化，并在治疗后复查胸片观察肺部炎症变化情况。结果：观察组治疗有效率为83.7％，远高于对照组的56.7％。两组有效率差异显著，具有统计学意义（P<0.05）。与对照组相比，观察组PaO2和PaO2/FiO2变化差异有统计学意义，1周后胸片肺部炎症吸收明显改善(P＜0.05)。结论：俯卧位机械通气应用于重症肺炎患者治疗效果较令人满意，值得广泛推广。
目的：探討分析俯臥位機械通氣應用于重癥肺炎治療的療效及安全性。方法：對2013年1月-2015年1月我院收治的78例重癥肺炎患者的臨床資料進行迴顧性調查分析，隨機分成兩組，每組39例，對照組行常規仰臥位機械通氣，採取保護性通氣模式；觀察組行俯臥位機械通氣，同樣採用保護性通氣模式，對比分析兩組患者治療後一天內不同時段的動脈血氣分析、氧閤參數及呼吸機參數的變化，併在治療後複查胸片觀察肺部炎癥變化情況。結果：觀察組治療有效率為83.7％，遠高于對照組的56.7％。兩組有效率差異顯著，具有統計學意義（P<0.05）。與對照組相比，觀察組PaO2和PaO2/FiO2變化差異有統計學意義，1週後胸片肺部炎癥吸收明顯改善(P＜0.05)。結論：俯臥位機械通氣應用于重癥肺炎患者治療效果較令人滿意，值得廣汎推廣。
목적：탐토분석부와위궤계통기응용우중증폐염치료적료효급안전성。방법：대2013년1월-2015년1월아원수치적78례중증폐염환자적림상자료진행회고성조사분석，수궤분성량조，매조39례，대조조행상규앙와위궤계통기，채취보호성통기모식；관찰조행부와위궤계통기，동양채용보호성통기모식，대비분석량조환자치료후일천내불동시단적동맥혈기분석、양합삼수급호흡궤삼수적변화，병재치료후복사흉편관찰폐부염증변화정황。결과：관찰조치료유효솔위83.7％，원고우대조조적56.7％。량조유효솔차이현저，구유통계학의의（P<0.05）。여대조조상비，관찰조PaO2화PaO2/FiO2변화차이유통계학의의，1주후흉편폐부염증흡수명현개선(P＜0.05)。결론：부와위궤계통기응용우중증폐염환자치료효과교령인만의，치득엄범추엄。
Objective:To investigate the analysis of mechanical ventilation in the prone position applied to the treatment of severe pneumonia, efficacy and safety. Methods:The clinical data of 78 cases of patients with severe pneumonia in January 2013 January 2015 in our hospital were retrospectively analyzed survey were randomly divided into two groups of 39 patients in the control group underwent conventional mechanical ventilation in supine position to take observation group underwent mechanical ventilation in the prone position, the same protective ventilation mode, comparative analysis of two groups of patients after a day at different times of arterial blood gas analysis, changes in oxygenation parameters and ventilator parameters, and after treatment;protective ventilation mode chest radiographs were observed changes in lung inflammation. Results:The effective rate was 83.7%, much higher than 56.7%. Significant differences between the two groups efficiently, with statistical significance (P<0.05). Compared with the control group, the study group PaO2 and PaO2/FiO2 change significantly, one week after the chest X-ray absorption of lung inflammation significantly improved (P<0.05). Conclusion:The prone position mechanical ventilation used in the treatment of patients with severe pneumonia compared with satisfactory results, should be popularized.
