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·胸部疾病·

无创呼吸机在呼吸衰竭急诊患者中的应用效果

作者:梁 松 杨溶海

所属单位:广东省佛山市第六人民医院(佛山市三水区人民医院) (广东 佛山 528100)

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摘要

目的 探讨和分析无创呼吸机在呼吸衰竭急诊患者中的应用效果。方法 本次研究选取我院在2011年1月-2016年1月 期间收治的40例呼吸衰竭急诊患者,按照就诊顺序将其分成两组,一组是采用常规急救方法治疗的对照组,一组是 采用无创呼吸机治疗的观察组,每组20例,观察两组患者的救治成功率、临床症状改善情况。结果 观察组患者救 治成功率较高,为95%,与对照组70%救治成功率比较,差异具有统计学意义(P<0.05);治疗前后,观察组患者临床 改善情况较好,与对照组患者比较,差异具有统计学意义(P<0.05)。结论 呼吸衰竭急诊患者采用无创呼吸机进行 救治,成功率高,临床症状改善效果好,具有推广价值,值得推广。

Objective To investigate and analyze the effect of noninvasive ventilator in emergency patients with respiratory failure. Methods Forty patients with acute respiratory failure admitted in our hospital from January 2011 to January 2016 were divided into two groups according to the order of treatment. One group was treated with routine first aid method, one group Group was treated with non-invasive ventilator observation group, each group of 20 cases, the two groups of patients to observe the success rate of treatment, clinical symptoms improved. Results The success rate of treatment in the observation group was 95%, which was significantly higher than that in the control group (70%) (P<0.05). Before and after treatment, the clinical improvement of the observation group was better, Group, the difference was statistically significant (P<0.05). Conclusion Respiratory failure emergency treatment of patients using non-invasive ventilator, the success rate of clinical symptoms to improve the effect of good, with the promotion of value, it is worth promoting.

【关键词】无创呼吸机;呼吸衰竭;急诊患者;临床症状改善

【中图分类号】R563.8

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2017.02.011

前言

呼吸衰竭主要是指肺通气和换气功能发生严重障 碍,导致患者不能进行气体交换,造成患者缺氧、二 氧化碳潴留等,从而引起患者生理功能、代谢功能紊 乱的临床综合征[1]。特别是一些急诊呼吸衰竭患者, 一般会伴有其他严重的心、脑、肾疾病,如脑血管意 外、肺梗塞、ARDS等。但是,在急诊救治中,必须先 进行呼吸衰竭的救治,临床中常规救治方法主要是采 用有创通气治疗,虽然也能取得预期中的救治效果, 但是也会给患者容易带来严重的创伤,使患者在救治 后出现合并并发症等[2]。因此,本科室为了解决这类 问题,应用了无创呼吸机对呼吸衰竭患者进行急救, 取得了良好的效果。现报道如下。