大面积脑梗死合并呼吸衰竭采用呼吸机辅助治疗对血气分析指标的影响  

Ventilator Assisted Treatment of Massive Cerebral Infarction with Respiratory Failure Analyze the Impact of Indicators

作　　者：林榕芳 李燕华 余连香 LIN Rong-fang;LI Yan-hua;YU Lian-xiang(Sanming Hospital of Integrated Traditional and Western Medicine,Fujian Sanming 365000)

机构地区：[1]三明市中西医结合医院,福建三明365000

出　　处：《中国医疗器械信息》2024年第8期74-76,共3页China Medical Device Information

摘　　要：目的:探讨大面积脑梗死合并呼吸衰竭采用呼吸机辅助治疗对血气分析指标的影响。方法:选取2019年12月~2022年12月本院收治的82例大面积脑梗死合并呼吸衰竭患者进行观察,随机分为实验组和对照组,各41例。对照组予以常规治疗,实验组加以双水平无创正压通气治疗,比较两组治疗前后血气分析指标、神经功能缺损情况、病情后续发展以及治疗效果。结果:治疗后,实验组PaO_(2)、SaO_(2)与PaO_(2)/FiO_(2)均高于对照组(P<0.05),PaCO_(2)低于对照组(P<0.05),神经功能改善情况优于对照组(P<0.05),肺部感染发生率(19.51%)低于对照组(41.46%),差异具有统计学意义(P<0.05),治疗有效率(90.24%)高于对照组(73.17%),差异具有统计学意义(P<0.05)。结论:呼吸机辅助治疗可有效改善大面积脑梗死合并呼吸衰竭患者血气指标,能够缓解神经功能缺损情况,降低肺部感染发生率,且能够改善治疗效果。Objective:To explore the effect of ventilator assisted treatment on blood gas analysis indicators in patients with massive cerebral infarction complicated with Respiratory failure.Methods:82 patients with massive cerebral infarction complicated with respiratory failure admitted to our hospital from December 2019 to December 2022 were selected for observation,and were randomly divided into the experimental group and the control group,with 41 cases in each group.The control group received routine treatment,while the experimental group received two-level non-invasive positive pressure ventilation treatment.Blood gas analysis indicators,neurological deficits,subsequent development of the condition,and treatment effects were compared between the two groups before and after treatment.Results:After treatment,the experimental group showed higher levels of PaO_(2),SaO_(2),and PaO_(2)/FiO_(2) compared to the control group(P<0.05),and lower levels of PaCO_(2) compared to the control group(P<0.05).The improvement of neurological function was better than that of the control group(P<0.05),and the incidence of pulmonary infection(19.51%)was lower than that of the control group(41.46%).The difference was statistically significant(P<0.05).The treatment effective rate(90.24%)was higher than that of the control group(73.17%)(P<0.05).Conclusion:Ventilator assisted treatment can effectively improve the blood gas index of patients with massive cerebral infarction combined with respiratory failure,alleviate the neurological deficit,reduce the incidence of pulmonary infection,and improve the treatment effect.

关 键 词：大面积脑梗死 呼吸衰竭 双水平无创正压通气 血气学分析 

分 类 号：R743.33[医药卫生—神经病学与精神病学]