老年患者胸部手术后重症监护常规机械通气的治疗效果分析  

Experience in the treatment of conventional mechanical ventilation in ICU after thoracic surgery in elderly patients

作　　者：徐秋燕[1] 李新梅[1] 詹德利[1] 吴兴达 余赞 张向东 XU Qiu-yan;LI Xin-mei;ZHAN De-li(Zhanjiang Central People's Hospital,Zhanjiang Guangdong 524000,China)

机构地区：[1]湛江中心人民医院外科重症监护室,广东湛江524000 [2]广东医科大学,广东湛江524000

出　　处：《中国处方药》2019年第12期159-160,共2页Journal of China Prescription Drug

摘　　要：目的分析老年患者胸部手术后ICU常规机械通气的治疗效果。方法选择自2015年6月~2018年9月收治的122例胸部手术者,将其随机分为对照组和观察组,每组61例。所有患者在术后均送至ICU,对照组给予常规治疗,观察组在对照组基础上给予机械通气,对两组治疗效果进行比较。结果与治疗前相比,治疗后两组FEV1、FEV1/FVC、PaO2和pH值均上升(P <0.05),PaCO2下降(P <0.05),且观察组变化较对照组更明显(P <0.05)。观察组不良情况发生率为8.20%,明显低于对照组21.31%,差异有统计学意义(P <0.05)。结论老年患者胸部手术后ICU常规机械通气治疗疗效显著。Objective To analyze the experience in the treatment of conventional mechanical ventilation in ICU after thoracic surgery in elderly patients. Methods 122 patients who underwent chest surgery from June 2015 to September 2018 were randomly divided into control group and observation group, with 61 cases in each group. All patients were sent to the ICU after operation, and the control group received routine treatment. The observation group was given mechanical ventilation on the basis of the control group, and the treatment effects of the two groups were compared. Results Compared with before treatment, the levels of FEV1, FEV1/FVC, PaO2 and pH increased after treatment(P < 0.05), PaCO2 decreased(P < 0.05), and the change of observation group was more obvious than that of the control group(P < 0.05). The incidence of adverse events in the observation group was 8.20%, which was significantly lower than that in the control group(21.31%). The difference was statistically significant(P < 0.05). Conclusion The conventional mechanical ventilation therapy of ICU in elderly patients after thoracic surgery is effective and worthy of clinical use.

关 键 词：胸部手术 机械通气 重症监护 治疗效果 

分 类 号：R47[医药卫生—护理学]