无创正压通气治疗呼吸衰竭疗效探讨  

Assess the efficacy of noninvasive positive pressure ventilation in respiratory failure

作　　者：王笑[1] 莫郁苓[1] 田立景[1] 辜艳[1] 

机构地区：[1]四川省德阳市人民医院呼吸科,四川德阳618000

出　　处：《海南医学》2007年第9期39-40,共2页Hainan Medical Journal

摘　　要：目的探讨应用无创正压机械通气治疗呼吸衰竭的疗效。方法回顾分析我院2003年1月1日～2006年12月31日期间收治的呼吸衰竭患者553例;其中392例患者在治疗过程中接受了无创正压机械通气;有161例患者未行无创通气。比较治疗前后各项通气指标,住院时间及死亡率。结果无创通气组治疗后各项血气指标显著改善(P<0.05)。并且总的住院时间、死亡率显著低于未行无创通气组(P<0.05)。结论各种原因所致呼吸衰竭患者应尽早实施无创机械通气,能显著减少住院时间及死亡率,提高生活质量。Objective Assess the efficacy of noninvasive positive pressure ventilation （NIPPV） in respiratory failure. Methods Analyses 553 patients of respiratory failure during 2003.1.1-2006.12.31. In our hospital. 392with NIPPV during the therapy; 161 with non-NIPPV. Compare two groups blood gas results before and after therapy, hospital stay. Mortality. Results Patients in NIPPV group have significantly changed in blood gas after therapy（P〈0.05）, and hospital stay, mortality lower than non-NIPPV（P〈0.05）. Conclusions Respiratory failure patients with various causes should receive NIPPV earlier. It can significantly decrease hospital stay and mortality, improve the quality of life.

关 键 词：呼吸衰竭 无创正压机械通气 

分 类 号：R563.8[医药卫生—呼吸系统]