摘要
目的探讨急诊无创正压通气治疗急性呼吸衰竭的临床效果。方法将急性呼吸衰竭患者30例随机分为观察组和对照组各15例。对照组采用常规治疗,观察组在此基础上加用无创正压通气治疗。比较2组有效率、并发症发生率、病死率及心率(HR)、呼吸频率(RR)、氧分压(PaO2)、二氧化碳分压(PaCO2)、pH水平。结果观察组有效率高于对照组,并发症发生率及病死率低于对照组,差异均有统计学意义(P<0.05)。观察组治疗2h、24h后HR、RR、PaCO2降低,PaO2及pH值升高,且治疗后HR、RR、PaO2、PaCO2及pH改善程度优于对照组,差异均有统计学意义(P<0.05)。结论急诊无创正压通气治疗急性呼吸衰竭,无创,可早期应用,具有较高的安全性和有效性,明显降低了并发症发生率和病死率,改善了患者的生存质量。
Objective To discuss the clinical effect of emergency noninvasive positive pressure ventilation in treatment of acute respiratory failure.Methods 30 cases patients with acute respiratory failure were randomly divided into observation group and control group,each of 15 cases.Control group received conventional care;On the basis of control group,observation group received noninvasive positive pressure ventilation.Compared the efficiency,the incidence of complication,mortality and heart rate（HR）,respiratory frequency（RR）,oxygen partial pressure（PaO2）,carbon dioxide partial pressure（PaCO2） and pH.Results The efficiency of observation group was higher than that of control group,the incidence of complication and mortality were lower than those of control group,there were significant difference（P〈0.05）.After therapy 2h,24h,HR,RR,PaCO2 of observation group lowed,the degree of improvement of PaO2 and pH increased,the HR,RR,PaO2,PaCO2 and pH were better than those of control group,the difference were statistically significant（P〈0.05）.Conclusion Emergency noninvasive positive pressure ventilation in treatment of acute respiratory failure,noninvasive,can early applications,with higher safety and efficacy,significantly reduce morbidity and mortality and improve quality of life of patient.
出处
《临床合理用药杂志》
2012年第16期15-16,共2页
Chinese Journal of Clinical Rational Drug Use
关键词
急诊
无创正压通气
呼吸衰竭
急性
Emergency
Noninvasive positive pressure ventilation
Respiratory failure,acute
