双水平气道正压通气在老年重症肺炎并急性呼吸衰竭患者中的效果分析.docVIP

双水平气道正压通气在老年重症肺炎并急性呼吸衰竭患者中的效果分析 　　摘要：目的： 研究探讨双水平气道正压通气在老年重症肺炎并急性呼吸衰竭患者中的治疗效果。方法： 选取2012年3月-2014年3月在我院内科接受治疗的、符合纳入标准的重症肺炎并急性呼吸衰竭老年患者46例，随机分为两组，所有患者接受常规治疗，对照组23例，在常规治疗的基础上采用鼻导管通气，观察组23例，在常规治疗的基础上双水平气道正压通气治疗观察两组患者的病情改善情况以及临床疗效，并对临床数据进行统计学分析。结果： 治疗结束后，观察组有一例患者，对照组有四例患者因病情恶化，采用有创机械通气。观察组有22例有效，对照组有19例有效，两组患者治疗后的动脉血氧分压均明显大于治疗前，动脉血二氧化碳分压均明显低于治疗前，差异均有统计学意义（P0.05）；观察组在动脉血分压和二氧化碳分压方面上的治疗效果与对照组相比，差异具有统计学意义（P0.05）。两组患者治疗后的HR、RR指标均明显低于治疗前，差异具有统计学意义（P0.05）。结论： 对重症肺炎并急性呼吸衰竭老年患者，双水平气道正压通气的临床疗效更好，有效改善患者的病情，促进患者尽快康复，副反应少，值得临床推广。 　　关键词：双水平气道正压通气；老年重症肺炎；急性呼吸衰竭；临床疗效 　　Abstract： objective to study the double level positive airway pressure （cpap） in elderly patients with severe pneumonia and acute respiratory failure in the therapeutic effect. Method selection in March 2012 - March 2014 in our hospital medical treatment， included in the standard of 46 cases of elderly patients with severe pneumonia and acute respiratory failure， randomly divided into two groups， all patients received routine treatment， 23 cases of control group， on the basis of conventional treatment with nasal catheter ventilation， 23 cases of observation group， on the basis of conventional treatment level of double positive airway pressure （cpap） treatment for the condition of two groups of patients was observed and the clinical curative effect， and statistical analysis of clinical data. Results after treatment， the observation group of patients in three cases， control group has four patients due to his condition deteriorated， with invasive mechanical ventilation. Observation group has 22 cases effective， 19 cases were effective， two groups of patients after treatment of arterial blood oxygen partial pressure were significantly greater than before the treatment， arterial blood co2 partial pressure were significantly lower than before the treatment， differences were statistically significant （P 　　Keywords ： the double level positive airway pressure （cpap）； Senile severe pneumonia； Acute respiratory failure. Clini