急危重症患者急诊呼吸阶梯性治疗的临床疗效分析.docVIP

精品论文 参考文献 急危重症患者急诊呼吸阶梯性治疗的临床疗效分析 安尤载 　　（贵州省凤冈县人民医院内三科 贵州 遵义 564200） 　　【摘要】目的：分析和研究急危重症患者急诊呼吸阶梯性治疗的临床疗效。方法：选取2012年8月—2014年10月急危重症患者178例，将其按奇偶数字法随机分为观察组与对照组，每组各有患者89例。对照组患者给予传统呼吸治疗；观察组患者给予急诊呼吸阶梯性治疗，将两组患者治疗效果进行对比。结果：两组患者复苏成功率相比较：观察组高于对照组（P＜0.05）。两组患者呼吸稳定时间相比较：观察组短于对照组（P＜0.05）。两组患者所应用的呼吸支持方式相比较：观察组患者复苏体位应用比率高于对照组；观察组患者气管切开应用比率低于对照组（P＜0.05）。两组患者开放气道、鼻导管吸氧、面罩给氧、气管插管、环甲膜穿刺、呼吸机给氧等应用比率无明显??异（P＞0.05）。结论：将急诊呼吸阶梯性方法应用于急危重症患者治疗中，其能够明显提高患者呼吸稳定率，缩短患者呼吸复苏时间，对改善患者预后及提高治疗效果均具有重要意义。 　　【关键词】急危重症患者；急诊呼吸阶梯性治疗；传统呼吸治疗；疗效分析 　　【中图分类号】R45 【文献标识码】A 【文章编号】2095-1752（2015）12-0021-02 　　Analysis of the clinical curative effect for the critical patients with emergency breathing step treatment 　　An Youzai Fenggang Peoples Hospital, Guizhou Province, Fenggang 564200, China 　　【Abstract】Objective Analysis and research of clinical curative effect of the critical patients with emergency breathing step treatment.Methods Selection 178 cases of critical patients that from August 2012 to October 2014, randomly divided into observation group and control group, 89 cases in each group. The control group use traditional respiratory therapy. Observation group was treated use emergency breathing step treatment. Compare the curative effect of two groups of patients.Results Success rate of recovery: observation group is higher than the control group, (P lt; 0.05). Stable breathing time: observation group is shorter than the control group (P lt; 0.05). Two groups of patients with open the airway, administering oxygen inhalation through nasal catheter mask to oxygen, endotracheal intubation, cricothyroid membrane puncture, breathing machine for oxygen, etc., application ratio has no obvious difference (P gt; 0.05）.Conclusions Emergency breathing JieTiXing method was applied to treatment of patients with critical patients, can significantly improve patients with respiratory stability factor, shorten the patient breathing recovery time. For improving the prognosis of p