保护性机械通气治疗重症医学科急性呼吸窘迫综合征患者的效果观察  

Treatment Effect Observation of Protective Mechanical Ventilation in Patients with Acute Respiratory Distress Syndrome in Department of Critical Care Medicine

作　　者：唐建芳 Tang Jian-fang(Department of Critical Care Medicine,Chongqing Nan'an District People's Hospital,Chongqing 400060,China)

机构地区：[1]重庆市南岸区人民医院重症医学科,重庆400060

出　　处：《中国社区医师》2022年第18期43-45,共3页Chinese Community Doctors

摘　　要：目的:观察重症医学科急性呼吸窘迫综合征患者应用保护性机械通气治疗的临床效果。方法:选取2018年6月-2020年6月重庆市南岸区人民医院收治的62例急性呼吸窘迫综合征患者,按照呼吸机治疗模式不同随机分为试验组与对照组。对照组31例采用传统机械通气治疗,试验组31例行保护性机械通气治疗,比较两组患者治疗效果。结果:试验组SaO_(2)、PaO_(2)、MBP、HR优于对照组,此外,试验组平均氧疗时间以及机械通气时间比对照组短,差异均有统计学意义(P<0.05)。试验组机械通气治疗期间并发症发生率比对照组低,差异有统计学意义(P<0.05)。结论:重症医学科急性呼吸窘迫综合征患者保护性机械通气治疗效果显著,优于传统机械通气治疗效果。Objective:To observe the clinical effect of protective mechanical ventilation in patients with acute respiratory distress syndrome in Department of Critical Care Medicine.Methods:From June 2018 to June 2020,62 patients with acute respiratory distress syndrome who were admitted to Chongqing Nan'an District People's Hospital were selected and randomly divided into the experimental group and the control group according to different ventilator treatment modes.Thirty-one cases in the control group were treated with traditional mechanical ventilation,and 31 cases in the experimental group were treated with protective mechanical ventilation.The therapeutic effects of the two groups were compared.Results:The SaO_(2),PaO_(2),MBP and HR in the experimental group were better than those in the control group.In addition,the average oxygen therapy time and mechanical ventilation time in the experimental group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications during mechanical ventilation in the experimental group was lower than that in the control group,and the differences were statistically significant(P<0.05).Conclusion:The effect of protective mechanical ventilation in patients with acute respiratory distress syndrome in Department of Critical Care Medicine is significantly and better than that of traditional mechanical ventilation.

关 键 词：重症医学科 急性呼吸窘迫综合征 保护性机械通气 

分 类 号：R563.8[医药卫生—呼吸系统]