摘要
目的探究重症加强护理病房(ICU)多发伤致急性呼吸窘迫综合征治疗过程中配合无创机械通气对病情康复的影响。方法采用随机数字表法84例ICU多发伤致急性呼吸窘迫综合征患者分为对照组(接受常规治疗)、观察组(在对照组基础上辅助无创机械通气治疗),每组42例。对比两组血气分析及心血管指标、治疗效果、并发症发生率及临床指标。结果观察组治疗后动脉血二氧化碳分压(PaCO_(2))(42.64±2.74)mm Hg(1 mm Hg=0.133 kPa)、舒张压(DBP)(73.67±5.97)mm Hg、心率(HR)(81.74±9.99)次/min、收缩压(SBP)(116.84±6.42)mm Hg较对照组的(47.62±2.85)mm Hg、(96.88±6.35)mm Hg、(96.92±13.08)次/min、(131.62±4.73)mm Hg更低,动脉血氧分压(PaO_(2))(92.64±12.74)mm Hg、氧合指数(P/F)(269.65±37.50)mm Hg较对照组的(77.62±10.85)、(168.24±22.50)mm Hg更高(P<0.05)。观察组ICU停留时间(163.49±19.03)h、机械通气时间(6.02±0.74)d较对照组的(216.40±23.58)h、(8.67±1.40)d更短(P<0.05)。观察组总有效率97.62%(41/42)较对照组的71.43%(30/42)更高(P<0.05)。观察组总并发症发生率7.14%(3/42)较对照组的30.95%(13/42)更低(P<0.05)。结论ICU多发伤致急性呼吸窘迫综合征治疗过程中配合无创机械通气,可有效稳定血气分析指标,缩短ICU停留时间及机械通气时间,保障整体治疗效果呈现持续升高趋势,减少各种并发症的发生。
Objective To investigate the impact of non-invasive mechanical ventilation on the recovery of patients with acute respiratory distress syndrome(ARDS)induced by multiple injuries in the intensive care unit(ICU)during treatment.Methods According to random number table,84 ICU patients with acute respiratory distress syndrome due to multiple injuries were assigned to to either control group(conventional therapy)or observation group(non-invasive mechanical ventilation based on the control group),each with 42 cases.The two groups were compared regarding blood gas analysis and cardiovascular indicators,treatment efficacy,complication incidence,and clinical indicators.Results After treatment,the arterial partial pressure of carbon dioxide(PaCO_(2))in the observation group was(42.64±2.74)mm Hg(1 mm Hg=0.133 kPa),the diastolic blood pressure(DBP)was(73.67±5.97)mm Hg,the heart rate(HR)was(81.74±9.99)beats/min,and the systolic blood pressure(SBP)was(116.84±6.42)mm Hg,which were lower than those in the control group[(47.62±2.85)mm Hg,(96.88±6.35)mm Hg,(96.92±13.08)beats/min,and(131.62±4.73)mm Hg];the arterial partial pressure of oxygen(PaO_(2))(92.64±12.74)mm Hg and oxygenation index(P/F)(269.65±37.50)mm Hg were higher than those in the control group[(77.62±10.85)and(168.24±22.50)mm Hg](P<0.05).The ICU stay time and mechanical ventilation time in the observation group were(163.49±19.03)h and(6.02±0.74)d,which were lower than those in the control group[(216.40±23.58)h and(8.67±1.40)d](P<0.05).The total effective rate of the observation group was 97.62%(41/42),which was higher than the control group's 71.43%(30/42)(P<0.05).The total incidence of complications in the observation group was 7.14%(3/42),which was lower than the control group's 30.95%(13/42)(P<0.05).Conclusion During the treatment of acute respiratory distress syndrome induced by multiple injuries in the ICU,combining non-invasive mechanical ventilation can effectively stabilize blood gas indicators,shorten ICU stay and mechanical ventilation time,ensure a continuous improvement in overall treatment outcomes,and reduce the occurrence of various complications.
作者
吕倩倩
郑雨亭
LYU Qian-qian;ZHENG Yu-ting(Department of Emergency and Critical Care Medicine,Lishui District Hospital of Traditional Chinese Medicine,Nanjing 211200,China)
出处
《中国实用医药》
2026年第3期38-41,共4页
China Practical Medicine
关键词
重症加强护理病房
多发伤致急性呼吸窘迫综合征
无创机械通气
临床效果
并发症
Intensive care unit
Acute respiratory distress syndrome induced by multiple injuries
Non-invasive mechanical ventilation
Clinical effects
Complications
