无创、有创通气治疗晚期弥漫性间质性肺病患者的效果比较  

Comparison of the effects of noninvasive and invasive ventilation in the treatment of patients with advanced diffuse interstitial lung disease

作　　者：张君涛 魏亚芝 ZHANG Juntao;WEI Yazhi(Yangling Demonstration Zone Hospital,Xianyang 712100;Qishan County Hospital,Baoji 722400,China)

机构地区：[1]杨凌示范区医院,陕西咸阳712100 [2]岐山县医院,陕西宝鸡722400

出　　处：《临床医学研究与实践》2020年第22期38-39,共2页Clinical Research and Practice

摘　　要：目的比较无创、有创通气治疗晚期弥漫性间质性肺病(DILD)患者的效果。方法将75例晚期DILD患者采用随机数字分组法分为对照组(37例)和观察组(38例)。对照组采取有创通气治疗,观察组采取无创通气治疗。比较两组的治疗效果。结果观察组住院时间短于对照组(P<0.05);治疗后,两组PaO2水平均升高,PaCO2水平及mMRC指数均降低,且观察组的PaO2水平和mMRC指数优于对照组(P<0.05)。对照组并发症总发生率高于观察组(P<0.05)。结论无创通气可缩短晚期DILD患者的住院时间,改善mMRC呼吸指数、PaO2水平,且并发症少。Objective To compare the effects of noninvasive and invasive ventilation in the treatment of patients with advanced diffuse interstitial lung disease(DILD).Methods Seventy-five patients with advanced DILD were divided into control group(37 cases)and observation group(38 cases)by random number grouping method.The control group was treated with invasive ventilation,and the observation group was treated with noninvasive ventilation.The therapeutic effects of the two groups were compared.Results The hospitalization time in the observation group was shorter than that in the control group(P<0.05);after treatment,the level of PaO2 in both groups increased,PaCO2 and mMRC index decreased,and PaO2 level and mMRC index in the observation group were better than those in the control group(P<0.05).The total incidence of complications in the control group was higher than that in the observation group(P<0.05).Conclusion Noninvasive ventilation can shorten the hospitalization time in patients with advanced DILD,improve the mMRC index and PaO2 level,with less complications.

关 键 词：弥漫性间质性肺病 无创通气 有创通气 

分 类 号：R563[医药卫生—呼吸系统]