摘要
目的探讨不同通气模式在重症肺源性心脏病呼吸衰竭中的应用效果。方法选取本院2011年1月-2014年1月收治的50例重症肺源性心脏病呼吸衰竭患者,随机分为观察组和对照组,每组25例。两组患者均给予常规处理,观察组实施有创-无创序贯通气,对照组行有创通气。观察两组治疗过程中的呼吸、血压、动脉血气指标改变情况;记录机械通气时间和住院时间。结果观察组呼吸频率、动脉收缩压、心率、氧分压、二氧化碳分压、pH值分别与对照组比较,差异无统计学意义（P〉0.05）。观察组患者机械通气时间和住院时间短于对照组,呼吸机相关肺炎发生率低于对照组,差异有统计学意义（P〈0.05）。结论有创-无创序贯机械通气改善重症肺源性心脏病呼吸衰竭患者临床症状效果显著,缩短住院时间,减少呼吸机并发症,值得借鉴。
Objective To explore the application effect of different modes of ventilation on severe respiratory failure due to pulmonary heart disease. Methods 50 cases of patients with severe respiratory failure due to pulmonary heart disease treated in our hospital from January 2011 to January 2014 were selected,and were randomly divided into observation group and control group,25 cases in each group.Two groups were given with conventional treatment,sequential invasive-noninvasive mechanical ventilation was given to the observation group,the control group was given with mechanical ventilation.The change of respiration,blood pressure,arterial blood gas index in two groups was observed.The time of mechanical ventilation and hospitalization time was recorded. Results There was no significant difference about the breathing rate,systolic blood pressure,heart rate,oxygen partial pressure,carbon dioxide partial pressure,p H values in the observation group compared with that in the control group（P〉0.05）.The mechanical ventilation and hospitalization time in the observation group was shorter than that of control group,the incidence of ventilator associated pneumonia was lower than that in the control group,the difference was significant（P〈0.05）. Conclusion Sequential invasive-noninvasive mechanical ventilation on patients severe respiratory failure due to pulmonary heart disease has significant effect,which can shorten the time of hospitalization and reduce ventilator complications,the therapy is worthy of reference.
出处
《中国当代医药》
2015年第1期40-41,44,共3页
China Modern Medicine
关键词
肺源性心脏病
呼吸衰竭
机械通气
无创
有创
Pulmonary heart disease
Respiratory failure
Mechanical ventilation
Noninvasive
Invasive
