内科急诊呼吸衰竭患者机械通气治疗的临床效果分析  

Clinical Efficacy of Mechanical Ventilation in Patients with Respiratory Failure for Emergency Treatment in Internal Medicine Department

作　　者：王廷正[1] 

机构地区：[1]安岳县人民医院急诊科,四川资阳642350

出　　处：《中外医疗》2017年第22期19-21,共3页China & Foreign Medical Treatment

摘　　要：目的探讨在内科急诊阶段对患者采用不同机械通气治疗急性呼吸衰竭的临床效果,并探讨机械通气对急性呼吸衰竭患者的作用机制。方法将该院急诊内科于2017年1—5月之间收治的64例急性呼吸衰竭患者随机分组,实验组采用无创通气治疗,对照组采用有创通气治疗。对两组患者的有效率、血气分析情况进行纪录,对所搜集来的数据运用SPSS 20.0统计学软件进行统计学分析,当结果显示为P<0.05时则认为数据差异有统计学意义。结果实验组患者有效率达到96.875%明显高于对照组显示的75.000%;两组血气分析结果表明实验组患者二氧化碳分压(41.4±3.80)、二氧化碳总量(24±3.60)、实际碳酸氢根(26.8±0.40)低于对照组[(53.8±2.60),(30±3.84),(37.2±0.60)],pH值(7.3±0.68)、氧分压(90±5.40)、剩余碱(-3±0.40)高于对照组[(7.2±0.54),(48±5.20),(-5±0.60)],统计学分析表明数据差异有统计学意义。结论在使用机械通气的急性呼吸衰竭患者中,使用无创通气的患者具有更好的预后,在急诊工作中应更多的倾注于对有创性通气患者的治疗和护理。Objective This paper tries to explore the clinical effect of different mechanical ventilation in the treatment of acute respiratory failure in the emergency department of internal medicine, and to explore the mechanism of mechanical ventilation on patients with acute respiratory failure. Methods 64 patients with acute respiratory failure enrolled in this hospital from January to May 2017 were selected and randomly divided into two groups. The patients in the experimental group were treated with non-invasive ventilation and the control group was treated with invasive ventilation. The efficiency and blood gas of the two groups were recorded and the data were analyzed by SPSS 20.0 software. The data were statistically significant when the results were（P0.05）. Results The effective rate of the experimental group was 96.875%, significantly higher than that of the control group of 75.000%. The results of the two groups showed that the blood pressure, the total amount of carbon dioxide, the actual bicarbonate, oxygen partial pressure and residual alkali was（41.4 ±3.80）,（24±3.60）,（26.8±0.40）,（7.3±0.68）,（90±5.40）,（-3±0.40） respectively in the experimental group, higher than those in the control group of（53.8±2.60）,（30±3.84）,（37.2±0.60）,DH value（7.3±0.68）,oxygen partial pressure（9.0±5.40）,vesidual alkali（-3±0.40） higher than the control group（7.2±0.54）,（48±5.20）,（-5±0.60）. The data were statistically significant. Conclusion As the patients with acute respiratory failure who use mechanical ventilation, the noninvasive ventilation has a better prognosis and the treatment and care of patients with invasive ventilation in emergency work should be paid more attention to.

关 键 词：机械通气 急性呼吸衰竭 并发症 血气分析 治疗有效率 有创性机械通气 无创性机械通气 

分 类 号：R5[医药卫生—内科学]