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目的探讨呼吸阶梯性疗法在急危重症治疗中的应用效果及价值。方法选取2013年12月~2015年12月我院急诊科收治的84例急危重症患者,按抢救方法不同分为观察组(42例,采用呼吸阶梯性疗法),对照组(42例,采用传统呼吸支持法),对比两组患者的临床抢救效果。结果复苏体位、开放气道、面罩吸氧、鼻导管吸氧、气管插管、气管切开、环甲膜穿刺、呼吸机吸氧等呼吸支持方式中以呼吸机吸氧、鼻导管吸氧、复苏体位为主。观察组采用复苏体位人数、呼吸复苏率均高于对照组(P<0.05),且气管切开人数、呼吸恢复稳定时间均低于对照组,差异显著(P<0.05)。结论在急危重症患者治疗中应用呼吸阶梯性疗法,抢救效果良好,提高呼吸复苏率,缩短呼吸恢复稳定时间,值得推广。
Objective To investigate the effect and value of respiratory ladder therapy in the treatment of acute critically ill patients. Methods Eighty-four acute critically ill patients admitted to our emergency department from December 2013 to December 2015 were divided into observation group (42 cases, respiratory ladder therapy) and control group (42 cases) Traditional respiratory support method), compared the clinical rescue effect of two groups of patients. Results In the resuscitation position, open airway, mask oxygen, nasal catheter oxygen, endotracheal intubation, tracheostomy, cricothyroid membrane puncture, breathing machine oxygen and other respiratory support in ventilator breathing oxygen, nasal catheter oxygen, Recovery-based position. The number of resuscitation position and respiratory resuscitation rate in the observation group were both higher than those in the control group (P <0.05). The number of tracheotomy and respiration stable time were lower than those in the control group (P <0.05). Conclusions The application of respiratory ladder therapy in the treatment of critically ill patients with severe acute respiratory failure, improve the resuscitation rate, shorten the recovery time of respiratory recovery, which is worth promoting.