急性呼吸窘迫综合征的ICU临床治疗分析  

Analysis of ICU Clinical Treatment of Acute Respiratory Distress Syndrome

作　　者：王奇 WANG Qi(Maternal and Child Health Hospital of Zaozhuang,Zaozhuang,Shandong Province,277100 China)

机构地区：[1]枣庄市妇幼保健院,山东枣庄277100

出　　处：《中外医疗》2020年第9期85-87,共3页China & Foreign Medical Treatment

摘　　要：目的就急性呼吸窘迫综合征的ICU临床治疗方案展开探讨,分析实际应用价值。方法方便选取2018年8月—2019年8月来该院入院治疗的36例急性呼吸窘迫综合征患者作为调查对象,按照患者病因分为观察组与对照组,每组患者18例。两组患者均给予ICU临床治疗,对比两组患者治疗后临床资料,分析并得出结论。结果观察组ICU治疗时间(8.10±3.20)d,机械通气时间(6.52±2.34)d;对照组ICU治疗时间(12.72±3.85)d,机械通气时间(11.96±3.22)d。观察组数据结果明显优于对照组,差异有统计学意义(t=8.326,P<0.05)。观察组患者2周内病死率和总病死率分别为11.11%、50.00%,对照组患者2周内病死率和总病死率分别为44.44%、61.11%。观察组2周内病死率明显低于对照组,差异有统计学意义(χ2=7.966,P<0.05),观察组半年内总病死率与对照组差异无统计学意义(χ2=0.274 P>0.05)。结论急性呼吸窘迫综合征患者发病突然,并且严重,治愈期长,从而导致病死率较高。相较于病原因素和病情发展程度,内源性肺部急性呼吸窘迫患者更难治愈,ICU治疗时间和机械通气时间更长,通过应用ICU治疗,能够提升治疗效果,结合患者实际情况控制病情。Objective To discuss the clinical treatment of acute respiratory distress syndrome in ICU and analyze its practical application value.Methods 36 patients with acute respiratory distress syndrome admitted to the hospital from August 2018 to August 2019 were convenient selection investigated and divided into observation group and control group according to the etiology of the patients,18 patients in each group.The two groups of patients were given ICU clinical treatment.The clinical data of the two groups of patients after treatment were compared,analyzed and concluded.Results The ICU treatment time in the observation group was(8.10±3.20)d,and the mechanical ventilation time was(6.52±2.34)d;in the control group,the ICU treatment time was(12.72±3.85)d and the mechanical ventilation time was(11.96±3.22)d.The data of the observation group is obviously better than that of the control group,the difference is statistically significant(t=8.326,P<0.05).The two-week mortality rate and total mortality rate of patients in the observation group were 11.11%and 50.00%respectively,while the two-week mortality rate and total mortality rate of patients in the control group were 44.44%and 61.11%respectively.The mortality rate in the observation group within 2 weeks was significantly lower than that in the control group,the difference was statistically significant(χ2=7.966,P<0.05),the total mortality rate in the observation group within half a year was not statistically significantly different from that in the control group(χ2=0.274,P>0.05).Conclusion Acute respiratory distress syndrome patients have sudden onset,severe onset and long cure period,leading to higher mortality rate.Compared with pathogenic factors and disease development degree,endogenous pulmonary acute respiratory distress patients are more difficult to cure,ICU treatment time and mechanical ventilation time are longer,through the application of ICU treatment,can improve the treatment effect,combined with the actual situation of patients to control the disease.

关 键 词：急性呼吸窘迫综合征 ICU治疗 肺内源性 肺外源性 

分 类 号：R5[医药卫生—内科学]