无创机械通气在急性呼吸衰竭中疗效观察.docVIP

无创机械通气在急性呼吸衰竭中疗效观察 　　[摘要] 目的 探讨无创机械通气治疗急性呼吸衰竭的疗效。 方法 在2012年11月～2014年11月选取我院急诊监护室收治的呼吸衰竭患者90例，其中选取45例作为对照组，给予吸氧等常规急救治疗；余45例作为治疗组，治疗组在常规急救治疗基础上给予无创呼吸机治疗。治疗5 h后比较两组患者的呼吸频率、心率、动脉血气指标及临床疗效。 结果 两组治疗后呼吸频率、心率、氧分压、血二氧化碳分压、动脉血氧饱和度、pH值比较，差异均有统计学意义（P0.05）；治疗组治疗效果显著优于对照组，差异有统计学意义（P0.05）；两组总有效率比较，差异有统计学意义（P0.05）。 结论 无创机械通气治疗能迅速有效改善呼吸衰竭患者的症状并纠正低氧血症，疗效显著。 　　[关键词] 无创机械通气；急性呼吸衰竭；急诊；疗效 　　[中图分类号] R541.6 [文献标识码] B [文章编号] 1673-9701（2015）12-0064-03 　　Clinical curative effect of noninvasive mechanical ventilation in treatment of patients with acute respiratory failure 　　ZOU Shimin MA Yueping MA Yanhui 　　Department of Emergency，Changji State Hospital of Traditional Chinese Medicine in Xinjiang Uygur Autonomous Region， Changji 831100，China 　　[Abstract] Objective To observe the curative effect of noninvasive mechanical ventilation in the treatment of patients with Respiratory failure. Methods 90 cases of patients with Respiratory failure from emergency care unit in November 2012 to November 2014 were randomly divided into observation group and control group， each group included 45 cases. Observation group was provided noninvasive ventilator therapy based on the traditional drug treatment， while the control group was given conventional treatment and oxygen. The heart rate， breathing rate， arterial blood gas index and the clinical curative effect were compared after 5 treatment hours within two groups. Results The breathing rate， heart rate， oxygen partial pressure， blood oxygen saturation had significant differences between before and after treatment in both groups （P0.05）. The treatment effect of observation group was significantly better than the control group， and the difference was statistically significant（P0.05）.The difference of total effective rate was statistically significant between two groups（P0.05）. Conclusion Noninvasive mechanical ventilation treatment can rapidly improve the symptoms and rectify hypoxemia of patients with acute left heart failure， and the curative effec