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無創(chuàng)正壓通氣療法治療老年急性中毒并發(fā)呼吸衰竭的療效

發(fā)布時間:2018-07-22 21:05
【摘要】:目的研究老年急性中毒并發(fā)呼吸衰竭患者采用無創(chuàng)正壓通氣的臨床治療效果。方法臨床納入80例我院2013年6月~2015年6月期間收治的急性中毒并發(fā)呼吸衰竭的患者,所有患者按入院順序分為兩組各40例。其中40例患者采用常規(guī)治療作為對照組,另40例患者在上述基礎(chǔ)上加用無創(chuàng)正壓通氣治療作為觀察組。結(jié)果治療前兩組患者臨床體征(HR、MAP、R)以及血?dú)馇闆r(Pa O2、Pa CO2、HP)均無差異,P0.05;治療后觀察組患者臨床體征及血?dú)馇闆r明顯優(yōu)于對照組,P0.05。結(jié)論對于老年急性中毒并發(fā)呼吸衰竭患者采用無創(chuàng)正壓通氣療法效果顯著,改善癥狀明顯,患者恢復(fù)情況較好,值得臨床應(yīng)用及推廣。
[Abstract]:Objective to study the clinical effect of non-invasive positive pressure ventilation in elderly patients with acute poisoning complicated with respiratory failure. Methods 80 patients with acute poisoning complicated with respiratory failure were admitted to our hospital from June 2013 to June 2015. All the patients were divided into two groups according to the order of admission. 40 patients were treated with routine therapy as control group, the other 40 patients were treated with noninvasive positive pressure ventilation on the above basis. Results before treatment, there was no difference between the two groups in clinical signs (HRP MAPR) and blood gas (Pa O 2 O 2 Pa CO 2 O 2 HP), but after treatment the clinical signs and blood gas in the observation group were significantly better than those in the control group (P 0.05). Conclusion the effect of noninvasive positive pressure ventilation on the elderly patients with acute poisoning complicated with respiratory failure is remarkable, the symptoms are obviously improved, and the recovery of the patients is better, which is worthy of clinical application and popularization.
【作者單位】: 廈門市第五醫(yī)院呼吸內(nèi)科;廈門市第五醫(yī)院心血管內(nèi)科;
【分類號】:R595;R563.8

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