中国医药科学
中國醫藥科學
중국의약과학
China Medicine and Pharmacy
2015年
18期
146-148
,共3页
肺结核%肺部感染控制窗%无创性机械通气%呼吸衰竭
肺結覈%肺部感染控製窗%無創性機械通氣%呼吸衰竭
폐결핵%폐부감염공제창%무창성궤계통기%호흡쇠갈
Pulmonary tuberculosis%Pulmonary infection control%Noninvasive ventilation%Respiratory failure
目的：探讨有创-无创序贯机械通气治疗肺结核合并呼吸衰竭的临床效果。方法回顾性分析我院2013年1月～2015年1月住院的69例因肺结核继发呼吸衰竭患者的临床资料，根据患者的治疗方法，将其分为对照组（n=46）和观察组（n=23），对照组采用单纯有创通气治疗，观察组患者接受有创与无创序贯治疗，观察两组患者的疗效。结果观察组患者的有创通气时间、总通气时间、VAP发生率及入住ICU的时间较对照组显著减少（P＜0.05）。观察组8例患者出现气道损伤，无气管软化等严重并发症，死亡2例。对照组患者中28例出现气道损伤，死亡14例。观察组患者气道损伤与病死率明显低于对照组，差异具有统计学意义（P＜0.05）。结论有创-无创序贯性机械通气治疗肺结核并发呼吸衰竭患者，可减少有创通气时间，增加患者的舒适度，降低并发症的发生，缩短了住院时间并减少了临床治疗费用，值得临床推广与使用。
目的：探討有創-無創序貫機械通氣治療肺結覈閤併呼吸衰竭的臨床效果。方法迴顧性分析我院2013年1月～2015年1月住院的69例因肺結覈繼髮呼吸衰竭患者的臨床資料，根據患者的治療方法，將其分為對照組（n=46）和觀察組（n=23），對照組採用單純有創通氣治療，觀察組患者接受有創與無創序貫治療，觀察兩組患者的療效。結果觀察組患者的有創通氣時間、總通氣時間、VAP髮生率及入住ICU的時間較對照組顯著減少（P＜0.05）。觀察組8例患者齣現氣道損傷，無氣管軟化等嚴重併髮癥，死亡2例。對照組患者中28例齣現氣道損傷，死亡14例。觀察組患者氣道損傷與病死率明顯低于對照組，差異具有統計學意義（P＜0.05）。結論有創-無創序貫性機械通氣治療肺結覈併髮呼吸衰竭患者，可減少有創通氣時間，增加患者的舒適度，降低併髮癥的髮生，縮短瞭住院時間併減少瞭臨床治療費用，值得臨床推廣與使用。
목적：탐토유창-무창서관궤계통기치료폐결핵합병호흡쇠갈적림상효과。방법회고성분석아원2013년1월～2015년1월주원적69례인폐결핵계발호흡쇠갈환자적림상자료，근거환자적치료방법，장기분위대조조（n=46）화관찰조（n=23），대조조채용단순유창통기치료，관찰조환자접수유창여무창서관치료，관찰량조환자적료효。결과관찰조환자적유창통기시간、총통기시간、VAP발생솔급입주ICU적시간교대조조현저감소（P＜0.05）。관찰조8례환자출현기도손상，무기관연화등엄중병발증，사망2례。대조조환자중28례출현기도손상，사망14례。관찰조환자기도손상여병사솔명현저우대조조，차이구유통계학의의（P＜0.05）。결론유창-무창서관성궤계통기치료폐결핵병발호흡쇠갈환자，가감소유창통기시간，증가환자적서괄도，강저병발증적발생，축단료주원시간병감소료림상치료비용，치득림상추엄여사용。
ObjectiveTo explore the clinical efficacy of invasive and non-invasive sequential mechanical ventilation in treatment of pulmonary tuberculosis patients with respiratory failure.MethodsThe clinical data of 69 patients with pulmonary tuberculosis with respiratory failure, who were in hospital from January 2013 to January 2015, were retrospectively analyzed. According to the method of treatment, the patients were divided into control group (n=46) and observation group (n=23). The control group was treated with noninvasive ventilation, and the observation group was treated with noninvasive and noninvasive treatment. The efficacy of the two groups was observed.ResultsThe time of invasive ventilation, total ventilation time, VAP incidence and the time to stay in ICU of observation group were significantly less than those of control group (P<0.05).There were 8 cases of patients with airway injury, no tracheal softening and other serious complications, and 2 cases of death in the observation group. In the control group, 28 patients had airway injury and 14 died. The airway injury and mortality in the observation group were significantly lower than those in the control group, the difference was statistically significant (P<0.05). Conclusion Non-invasive sequential mechanical ventilation in treatment of pulmonary tuberculosis patients with respiratory failure can reduce the time of invasive ventilation, increase patient comfort, reduce the occurrence of complications, shorten the length of hospital stay and reduce the cost of clinical treatment, it is worthy of clinical promotion and use.
