留置不同人工气道长期机械通气患者的病因探讨及并发症的差异性分析呼吸内科(呼吸及重症医学)专业论文.docxVIP

PAGE PAGE IV 留置不同人工气道长期机械通气患者的病因探讨及并发症的差异性分析 英文摘要 The Analysis of the Complications and the Etiology in Prolonged Mechanical Ventilation with Different Artificial Airways Abstract Objective To explore the Etiology for prolonged mechanical ventilation (PMV), compare the complications, hospital mortality and survival time with different artificial airway in patients undergoing prolonged mechanical ventilation, analysis the causes and prevention of major complications of the two groups, explore the rational and effective selection and management of artificial airway. Methods This was a retrospective observational study of 125 patients who received prolonged mechanical ventilation in our ICU between March 2007 and March 2012. Explore the etiology of PMV. According to the artificial airway, 125 patients were divided into two groups: the nasotracheal tubated group(76 patients) And the tracheostomized group(49 patients), complications, hospital mortality and survival time were compared between the two groups. Results There were no difference between the two groups in gender, age, respiratory failure type, acute physiology and chronic health status score (APACHE II score). Lung diseases(56.80%)were the main reason for patients undergoing prolonged mechanical ventilation. Meanwhile, other reasons such as neuromuscular diseases(9.60%), cerebrovascular accident(9.60%), heart disease(8.80%), multiple organ failure(8.00%), psychological factors(4.80%) and surgery(2.40%) could also lead to prolonged mechanical ventilation. There was significantly higher in the incidence of sinusitis in the the nasotracheal 英文摘要 留置不同人工气道长期机械通气患者的病因探讨及并发症的差异性分析 tubated group (13.15%), (χ2=4.59，P0.05). There were no significant difference between two groups in the incidence of other complications: ventilator-associated pneumonia(VAP) 32.89%vs28.57%, χ2=0.26, P=0.61; tracheoesophageal fistula(TEF) 2.63%vs2.04%, χ2=0.04, P=0.83; tracheal stenosis 1.31%vs4.08%, χ2=0.97, P=