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目的观察不同机械通气方式治疗呼吸衰竭的疗效。方法对60例呼吸衰竭患者随机分成无创面罩(鼻)正压通气(BiPAP)组(无创组)和经气管插管呼吸机通气组(有创组)各30例,观察通气前后2组患者治疗效果。结果患者经机械通气后呼吸困难均明显改善,心率、呼吸频率、氧分压、二氧化碳分压等监护指标明显改善,无创组和有创组的有效率分别为81.2%和84.8%,但差异无统计学意义(P>0.05)。结论无创与有创机械通气治疗呼吸衰竭的疗效相似。根据病情选择合适的机械通气方式,能有效改善低氧血症、呼吸衰竭,是救治呼吸衰竭有效的方法。
Objective To observe the curative effect of different mechanical ventilation on respiratory failure. Methods Sixty patients with respiratory failure were randomly divided into non-invasive mask (nasal) positive pressure ventilation (BiPAP) group (non-invasive group) and tracheal intubation ventilator ventilation group (invasive group) effect. Results Patients with dyspnea after mechanical ventilation were significantly improved. Heart rate, respiratory rate, partial pressure of oxygen and partial pressure of carbon dioxide were significantly improved. The effective rates of noninvasive group and invasive group were 81.2% and 84.8% respectively, but the difference was no Statistical significance (P> 0.05). Conclusions Non-invasive and invasive mechanical ventilation for respiratory failure have similar efficacy. According to the disease to choose the appropriate mechanical ventilation, can effectively improve hypoxemia, respiratory failure, is an effective treatment of respiratory failure.