分析急诊急危重症患者采用呼吸阶梯性治疗的临床效果及优势.docxVIP

分析急诊急危重症患者采用呼吸阶梯性治疗的临床效果及 优势 湖南省郴州市第四人民医院 湖南郴州423001 【摘 要】目的探讨分析急诊急危重症患者采用呼吸阶梯性治疗的临 床效果及优势。方法我院急诊科在2012年12月?2015年6月期间收治的146 例急危重症患者作为研究对象，随机分为对照组和观察组，各73例。对照组釆 用传统呼吸支持抢救方法，而观察组釆用呼吸阶梯性治疗方法，比较两组患者的 呼吸支持方式、复苏成功情况及呼吸稳定时间。结果观察组采用复苏体位的患 者明显多于对照组，而釆用气管切开的患者明显少于对照组。观察组的复苏成功 率95.9%,明显高于对照组的72.6%,且呼吸稳定所需时间明显短于对照组。结 论急诊呼吸阶梯性治疗的临床疗效比较好，可以有效提高急危重症患者呼吸支 持的管理效果，患者抢救成功率得到明显提高，值得在临床实践中广泛的应用和 推广。 【关键词】急危重症；急诊；呼吸阶梯性治疗；临床效果 Objective to investigate the clinical effect and advantages of the treatment of respiratory tract in emergency and critical care patients. Methods 146 patients with acute and severe disease in our hospital during June ?2015, December 2012, were randomly divided into control group and observation group, each of 73 cases? The control group was treated with conventional respiratory support, while the observation group was treated with respiratory ladder. The respiratory support mode, the recovery and the success of the recovery of the two groups were compared. Results the patients in the observation group were sigrdficantly more than those in the control group, while the patients with tracheotomy were significantly less than those in the control group. The recovery success rate of observation group was 95.9%, which was sign讦icantly higher than that of the control group, and the time needed for respiratory stabilization was sign讦icantly shorter than that in the control group. Conclusion the clinical efficacy of emergency respiratory ladder is good, it can effectively improve the management effect of respiratory support in patients with acute severe crisis, and the success rate of the patients was sign讦icantly improved, which is worthy of wide application and promotion in clinical practice. [Keywords] acute critical illness； emergency； respiratory therapy； clinical effect 急危重症患者是急诊科比较常见的患者，其发病原因主要是由于严重外 伤或者多种内科疾病综合影响而导致的。急危重症患者比较常见的临床症状是有 不同程度的低氧血症，因此，在对患者进行抢救吋，患者常常会因为呼吸功能障 碍而产生危险，对患者的生命安全构成严重威胁⑴。所以，对于急危重症患者 而言，及吋给予吸氧，采取正确的呼吸管理措施是提高抢救率最有效的方法之一。 而提高抢救成功率的关键是在于排除低氧血症，避免患者