有创-无创序贯机械通气治疗急性呼吸衰竭38例的临床研究  

Clinical Research of Sequential Invasive to Noninvasive Ventilation on Treatment of 38 cases of Acute Respiratory Failure

作　　者：叶钧强 蒋爱忠 杨龙峰 周素良 肖冬梅 张惠琪 吉伟青 廖成标 

机构地区：[1]广东省河源市人民医院,517000

出　　处：《中国实用医药》2010年第31期27-28,共2页China Practical Medicine

基　　金：广东省河源市科技项目资助(项目编号:河科2010-12-02)

摘　　要：目的探讨有创-无创序贯机械通气在急性呼衰治疗的临床意义。方法将38例急性呼衰患者随机分为两组,其中观察组给予有创-无创序贯机械通气,对照组给予有创机械通气。观察患者病情变化、血气分析、呼吸机相关肺炎、死亡数、机械通气时间。结果两组患者在有创通气时间、机械通气时间、住院时间,住院患者死亡率比较具有显著性差异。结论有创-无创序贯机械通气可降低急性呼吸衰竭患者呼吸机相关肺炎发生率,缩短机械通气和住院时间,提高疗效。Objective To investigate the significance of sequential invasive to noninvasive ventilation on treaing of acute respiratory failure. Methods 38 cases were randomly divided into 2 groups ：20 eases in observation group received sequential invasive to noninvasive ventilation, 18 eases in control group received sequential invasive ventilation. Observe the change of condition, blood gas analysis, ventilator-associated pneumonia, death number, mechanical ventilation time. Results The differences in sequential invasive ventilation time, mechanical ventilation time, the length of hospitalization and mortality of patients between observing and control group have statistical significance. Conclusion Sequential invasive to noninvasive ventilation can reduce the incidence of VAP of acute respiratory failure patients, decrease mechanical ventilation time and the length of hospitalization, and improve therapeutic effects.

关 键 词：有创-无创序贯机械通气 呼吸衰竭 有创机械通气 

分 类 号：R563.8[医药卫生—呼吸系统]