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目的探讨无创气道正压通气在呼吸衰竭急诊患者中的应用效果。方法 76例急性呼吸衰竭患者,随机分为观察组与对照组,各38例。观察组在常规救治措施基础上采用无创气道正压通气抢救,对照组则在常规救治措施基础上采用简易的呼吸囊进行治疗。对比两组治疗效果。结果两组患者治疗后呼吸频率(RR)、心率(HR)、收缩压(SBP)等生命体征进行比较,观察组患者各项指标明显优于对照组,差异有统计学意义(P<0.05)。两组患者治疗后p H值、二氧化碳分压(Pa CO2)、动脉氧分压(Pa O2)和血氧饱和度(Sp O2)等血气分析较治疗前显著改善,且治疗后观察组各指标改善程度显著优于对照组,差异有统计学意义(P<0.05)。结论对急诊呼吸衰竭患者采用无创正压通气治疗具有极高的安全性及有效性,能提高抢救成功率,值得临床推广应用。
Objective To investigate the effect of noninvasive positive airway pressure in emergency patients with respiratory failure. Methods A total of 76 patients with acute respiratory failure were randomly divided into observation group and control group, with 38 cases in each group. The observation group was treated with noninvasive positive airway pressure ventilation on the basis of conventional treatment measures while the control group was treated with simple respiratory capsule on the basis of conventional treatment measures. Compare the two groups treatment effect. Results Compared with the control group, the indexes of respiratory rate (RR), heart rate (HR) and systolic blood pressure (SBP) in the two groups after treatment were significantly better than those in the control group (P <0.05) . After treatment, p H value, PaCO 2, Pa O 2 and Sp O 2 were significantly improved in both groups after treatment compared with before treatment, and after treatment, the indexes of the observation group The improvement was significantly better than the control group, the difference was statistically significant (P <0.05). Conclusion The use of noninvasive positive pressure ventilation in patients with respiratory failure patients has the highest safety and efficacy, which can improve the success rate of rescue and is worthy of clinical application.