无创呼吸机在急性呼吸衰竭患者治疗中的应用及临床有效性评价  

Application and Clinical Effectiveness Evaluation of Noninvasive Ventilator in the Treatment of Acute Respiratory Failure Patients

作　　者：沈章华 SHEN Zhanghua(Department of Respiratory Medicine,Putian Hanjiang Hospital,Putian 351111,China)

机构地区：[1]福建省莆田市涵江医院呼吸内科,莆田351111

出　　处：《中国医药指南》2024年第6期89-91,95,共4页Guide of China Medicine

摘　　要：目的分析无创呼吸机的治疗效果,研究该措施实施后急性呼吸衰竭患者的疗效情况。方法将2018年5月至2023年5月收治的急性呼吸衰竭患者作为研究对象,遵循随机对照原则,将共计入组的100例患者进行分组对比研究,每组均纳入50例样本。给予对照组患者常规治疗,给予研究组无创呼吸机治疗。分析两组治疗前后数据,并纳入统计学软件对比,指标包括:血气指标、肺功能、血常规指标、C-反应蛋白、并发症、治疗有效率。结果两组肺功能对比显示,对照组、研究组均得到有效改善,且后者的改善程度高于前者,P<0.05,对比有意义;研究组血气指标分析优于对照组(P<0.05);与对照组患者血常规指标对比显示,研究组数据较高,统计学差异分析有意义(P<0.05);对照组并发症总发生率高于研究组,治疗有效率低于研究组,上述指标差异均存在统计学对比意义(P<0.05)。结论无创呼吸机疗效及安全性高,可以帮助患者改善气道重塑、氧化应激及血气指标,对患者肺功能的提升具有促进作用。Objective To analyze the therapeutic effect of noninvasive ventilator and study the therapeutic effect of acute Respiratory failure patients after the implementation of this measure.Methods From May 2018 to May 2023,the patients with acute Respiratory failure were taken as the research objects.Following the randomized control principle,100 patients included in the group were divided into groups for comparative study.Each group included 50 samples.Provide routine treatment to the control group patients and non-invasive ventilation treatment to the study group patients.Analyze the data before and after treatment in two groups and include them in statistical software for comparison.The indicators include blood gas indicators,lung function,blood routine indicators,C-reactive protein,complications,and treatment effectiveness.Results The comparison of lung function between the two groups showed that both the control group and the study group were effectively improved,and the latter was higher than the former(P<0.05),indicating a significant difference in comparison;Blood gas index analysis showed that the study group was superior to the control group(P<0.05);Compared with the blood routine indicators of the control group patients,the study group showed higher data and statistically significant differences(P<0.05);The incidence of complications in the control group was higher than that in the study group,and the effective rate was lower than that in the study group.The differences in the above indicators were statistically significant(P<0.05).Conclusions Non-invasive ventilation has high efficacy and safety,and can help patients improve airway remodeling,oxidative stress,and blood gas indicators.It has a promoting effect on the improvement of lung function in patients.

关 键 词：无创呼吸机 急性呼吸衰竭 血常规 C-反应蛋白 血气指标 肺功能 

分 类 号：R563.8[医药卫生—呼吸系统]