无创正压通气对重症急性胰腺炎合并ALI/ARDS的治疗价值  

Noninvasive positive pressure ventilation for treatment of severe acute pancreatitis with ALI/ARDS

作　　者：张海瑛[1,2] 臧泽林[1,2] 雷霆[1,2] 张应宏[1,2] 尚娟[1,2] 

机构地区：[1]川北医学院第二临床医学院 [2]南充市中心医院ICU,四川南充637000

出　　处：《西部医学》2010年第4期644-645,共2页Medical Journal of West China

摘　　要：目的评价无创正压通气(NPPV)治疗重症急性胰腺炎合并ALI/ARDS的价值。方法选择在本院ICU住院的重症急性胰腺炎合并ALI/ARDS患者74例,将进行面罩NPPV者作为治疗组,未进行NPPV治疗者作为对照组,观察各组治疗前及治疗3d后血气分析结果、住院时间、住院费用、插管率、病死率。结果重症急性胰腺炎合并ALI/ARDS患者使用NPPV治疗后其动脉血气分压(PaO2)均有不同程序升高,治疗组与对照组PH值PaO2比较差异均有统计学意义(均P<0.05)。治疗组住院时间、住院费用较对照组明显减少,插管率、病死率均较对照组明显降低(P均<0.05)。结论NPPV对重症急性胰腺炎合并ALI/ARDS患者有益。Objective To study the value of noninvasive positive pressure ventilation （NPPV） in the treatment of severe acute pancreatitis complicating ALI/ARDS. Methods 74 patients with severe acute pancreatitis with ALI/ARDS were divided to treatment group with NPPV and control group. The blood gas analysis, length of stay, cost of hospitalization, rate of spile and case fatality between pretherapy and 3 days after therapy were observed. Results PaOz in treatment group improved after NPPV （P〈0.05）. Length of stay, cost of hospitalization, rate of spile and case fatality in treatment group were lower than that in control group（P〈0.05）. Conclusions NPPV is beneficial to severe acute pancreatitis complicating ALI/ARDS.

关 键 词：重症急性胰腺炎 急性肺损伤 急性呼吸窘迫综合症 无创正压通气 

分 类 号：R576[医药卫生—消化系统]