摘要
目的:观察中西医结合方案改善重症肺炎机械通气患者脱机困难的效果。方法:选取2021年3月—2023年3月于河北省退役军人总医院接受机械通气治疗且脱机困难的重症肺炎患者80例作为研究对象,依照随机数字法分为常规组与结合组,各40例。常规组采用常规西医治疗,结合组采用中西医结合方案。比较呼吸功能、血气指标、心率、治疗时间、并发症发生情况。结果:治疗第25天,两组潮气量高于治疗前、治疗第3天与治疗第15天,且结合组高于常规组,两组呼吸频率低于治疗前、治疗第3天与治疗第15天,且结合组低于常规组,差异有统计学意义(P<0.05)。治疗第25天,两组动脉血二氧化碳分压、心率低于治疗前、治疗第3天与治疗第15天,且结合组低于常规组,差异有统计学意义(P<0.05)。结合组机械通气时间、重症加强护理病房住院时间短于常规组,差异有统计学意义(P<0.001)。研究组呼吸机相关性肺炎发生率低于常规组,差异有统计学意义(P=0.023)。结论:中西医结合方案改善重症肺炎机械通气患者脱机困难的效果显著,可改善患者呼吸功能、血气指标与心率,缩短治疗时间,降低并发症发生率。
Objective:To observe the effect of integrated traditional Chinese and western medicine to improve the offline difficulties of patients with severe pneumonia mechanical ventilation.Methods:A total of 80 patients with severe pneumonia who received mechanical ventilation treatment and had difficulty in taking off the machine were selected as the study objects in the General Hospital of Retired Soldiers of Hebei Province from March 2021 to March 2023,and were divided into the conventional group and the combined group according to random number method,with 40 cases in each group.The conventional group was treated with conventional Western medicine,and the combined group was treated with integrated Chinese and Western medicine.Respiratory function,blood gas index,heart rate,treatment time and complications were compared.Results:On the 25th day of treatment,tidal volume of the two groups was higher than before treatment,the 3rd day and the 15th day of treatment,and the combined group was higher than the conventional group,respiratory rate of the two groups was lower than before treatment,the 3rd day and the 15th day of treatment,and the combined group was lower than the conventional group,the difference was statistically significant(P<0.05).On the 25th day of treatment,the partial blood carbon dioxide pressure and heart rate of two groups were lower than before treatment,the 3rd day and the 15th day of treatment,and the combined group was lower than the conventional group,the difference was statistically significant(P<0.05).The mechanical ventilation time and hospital stay in intensive care unit in combination group were shorter than those in conventional group,and the difference was statistically significant(P<0.001).The incidence of ventilators associated pneumonia in the study group was lower than that in the conventional group,the difference was statistically significant(P=0.023).Conclusion:The combination of traditional Chinese and western medicine can significantly improve the offline difficulties of patients with severe pneumonia mechanical ventilation,improve the respiratory function,blood gas index and heart rate of patients,shorten the treatment time and reduce the incidence of complications.
作者
杨洋
阮亚伟
高锐婷
王志强
曹爱生
Yang Yang;Ruan Yawei;Gao Ruiting;Wang Zhiqiang;Cao Aisheng(Intensive Care Department of Hebei Provincial Veterans General Hospital,Xingtai 054000,Hebei Province,China;Cardiovascular Department of Hebei Provincial Veterans General Hospital,Xingtai 054000,Hebei Province,China)
出处
《中外医药研究》
2024年第6期87-89,共3页
JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
基金
邢台市科技计划项目(编号:2021ZC064)。
关键词
重症肺炎
中西医结合
机械通气
脱机困难
Severe pneumonia
Integration of traditional Chinese and Western medicine
Mechanical ventilation
Offline difficulty
