老年患者胸部手术后重症监护常规机械通气的治疗效果探索  

Treatment Effect of Conventional Mechanical Ventilation in Intensive Care After Chest Surgery in Elderly Patients

作　　者：孙远鹏 SUN Yuan-peng(Donggang Central Hospital,Liaoning Donggang 118300)

机构地区：[1]东港市中心医院,辽宁东港118300

出　　处：《中国医疗器械信息》2020年第21期87-88,共2页China Medical Device Information

摘　　要：目的:研究老年患者胸部手术后重症监护中采用机械通气治疗的效果。方法:在本院2018年3月~2019年9月收治的行胸部手术患者中选出144例为对象,均在术后送至重症监护室,根据术后治疗分组:对照组术后接受常规ICU治疗,观察组在对照组的基础上给予机械通气治疗,对比两组患者的并发症发生率等。结果:观察组患者并发肺部感染和呼吸衰竭的发生率均低于对照组患者,P<0.05;观察组ICU入住时间和总住院时间均短于对照组,P<0.001;治疗2h后观察组的PaCO2低于对照组,P<0.001;治疗2h后的PaO2、SaO2、pH对比观察组均高于对照组,P<0.001。结论:老年胸部手术患者术后重症监护室治疗中实施机械通气有助于促进患者呼吸状况改善,预防呼吸衰竭、肺部感染等并发症发生,促进患者早日康复。Objective:To study the effect of mechanical ventilation in intensive care of elderly patients after chest surgery.Methods:144 patients with thoracic surgery were treated in our hospital from March 2018 to September 2019,all of them were sent to intensive care unit after operation.According to the postoperative treatment group,the control group received routine ICU treatment after operation,and the observation group was given mechanical ventilation treatment on the basis of the control group.Results:The incidence of pulmonary infection and respiratory failure in the observation group was lower than that in the control group,P<0.05;the ICU stay time and total hospitalization time in the observation group were shorter than those in the control group,P<0.001;the PaCO2 in the observation group was lower than that in the control group after 2 hours of treatment,P<0.001;the PaO2,SaO2 and pH value of the observation group after 2 hours of treatment were higher than those in the control group,P<0.001.Conclusion:Mechanical ventilation in the postoperative intensive care unit of elderly patients with chest surgery can promote the improvement of respiratory condition,prevent respiratory failure,lung infection and other complications.

关 键 词：老年患者 胸部手术 重症监护室 机械通气 肺部并发症 动脉血气 

分 类 号：R655[医药卫生—外科学]