【摘要】：目的探討亞低溫對(duì)老年急性呼吸窘迫綜合征(ARDS)患者的臨床療效,同時(shí)觀察亞低溫對(duì)血流動(dòng)力學(xué)的影響。方法將收入ICU診斷為ARDS的老年患者40例分為常規(guī)組和亞低溫組各20例。常規(guī)組予常規(guī)治療,亞低溫組用低溫治療儀等措施將體溫降至35℃并維持在該水平。比較兩組患者在治療前后的氧合指數(shù)、呼氣末正壓(PEEP)、平臺(tái)壓、通氣時(shí)間、住ICU時(shí)間及亞低溫組治療前后血流動(dòng)力學(xué)參數(shù)的變化。結(jié)果亞低溫組治療后氧合指數(shù)較常規(guī)組高,PEEP、平臺(tái)壓較常規(guī)組低,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。亞低溫組機(jī)械通氣時(shí)間、住ICU時(shí)間較常規(guī)組短,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。兩組病死率比較差異無統(tǒng)計(jì)學(xué)意義(P0.05)。亞低溫組治療后平均動(dòng)脈壓(MAP)、每搏輸出量(SV)、心輸出量(CO)及外周血管阻力(SVR)與治療前比較差異無統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論亞低溫治療可改善老年ARDS患者的氧合,降低呼吸機(jī)支持力度,盡早脫機(jī),減少ICU時(shí)間,對(duì)血流動(dòng)力學(xué)無不良影響。
[Abstract]:Objective to investigate the clinical effect of mild hypothermia on elderly patients with acute respiratory distress syndrome (ARDS) and to observe the effect of mild hypothermia on hemodynamics. Methods 40 elderly patients diagnosed as ARDS by ICU were divided into routine group and mild hypothermia group. The normal group was treated with routine therapy, the mild hypothermia group was treated with hypothermia instrument, and the body temperature was reduced to 35 鈩，

本文編號(hào)：2166745