无创呼吸机治疗肺栓塞导致呼吸衰竭患者效果探讨.docVIP

无创呼吸机治疗肺栓塞导致呼吸衰竭患者效果探讨 　　[摘要] 目的 探讨无创呼吸机治疗肺栓塞导致呼吸衰竭患者的效果。 方法 整群收集2014年2月―2015年9月在该院被诊断为肺栓塞合并呼吸衰竭的患者108例，随机分为两组，对照组50例采用常规药物治疗，观察组58例，在对照组基础上加用无创呼吸机治疗，对比治疗前后两组血气指标及插管率、病死率。 结果 组间比较，治疗前，两组PaO2、PaCO2及pH值差异有统计学意义（P0.05），治疗后，观察组明显好于对照组，差异有统计学意义（P0.05）。 结论 无创机械通气治疗肺栓塞合并呼吸衰竭疗效较佳，值得推广。 　　[关键词] 无创呼吸机；肺栓塞；呼吸衰竭 　　[中图分类号] R563.8 [文献标识码] A [文章编号] 1674-0742（2016）02（c）-0086-02 　　Effect Observation on Non-invasive Ventilator in Treatment of Patients with Respiratory Failure Caused by Pulmonary Embolism 　　ZHOU Xin-yun 　　Xinhua Peoples Hospital， Loudi，Hunan Province， 417600 China 　　[Abstract] Objective To study the effect of non-invasive ventilator in treatment of patients with respiratory failure caused by pulmonary embolism. Methods 108 cases of patients with pulmonary embolism complicated by respiratory failure diagnosed in our hospital from February 2014 to September 2015 were collected and randomly divided into two groups， the control group （50 cases） were treated with conventional drugs， the observation group （58 cases） were treated with non-invasive ventilator on the basis of the control group， the blood gas indexes， intubation rate and case fatality rate of the two groups before and after treatment were compared. Results There was no obvious difference in the PaO2， PaCO2 and PH value between the two groups before treatment， P0.05， the PaO2， PaCO2 and PH value in the observation group were obviously better than those in the control group after treatment， the differences were obvious， P0.05. Conclusion The curative effect of noninvasive mechanical ventilation in treatment of pulmonary embolism complicated by respiratory failure is better， and it is worth promotion. 　　[Key words] Non-invasive ventilator； Pulmonary embolism； Respiratory failure 　　肺栓塞是指肺组织血流被肺动脉及其分支栓子给阻塞或者中断，造成肺部组织坏死或病变[1]，由体循环静脉或心脏产生血栓[2]，发病急，极易合并呼吸衰竭[3]。无创机械通气是指不采取气管切开的方法使肺泡通气，尤其是肺栓塞导致呼吸衰竭患者非常适合此种通气方式，近年来，无创机械通气治疗不仅可以改善通气和氧合功能，还能降低病死率[4]。整群选择2014年2月―2015年9月被该院诊断为肺栓塞合并呼吸衰竭的患者108例，分别采取不同的治疗，疗效满意，现报道如下。