论文部分内容阅读
目的探讨慢性阻塞性肺疾病(简称慢阻肺)合并呼吸衰竭中不同机械通气模式的疗效。方法选取焦作煤业集团中央医院采用SIMV-PSV模式(实验组)和BiPAP-PSV模式(对照组)进行治疗的慢阻肺合并呼吸衰竭患者各50例,治疗后对两组患者白蛋白、前白蛋白以及心率、不良反应和住院时间等各项数据进行对比分析。结果实验组平均住院时间为(11.2±2.1)d,对照组为(17.1±3.1)d,实验组2例发生不良反应,对照组8例发生不良反应,两组住院时间和不良反应比较有显著性差异(P<0.05)。治疗结束后两组患者白蛋白、呼吸频率、心率等指标均有所好转,实验组改善程度优于对照组,差异有统计学意义(P<0.05)。结论采用SIMV-PSV模式进行机械通气治疗慢阻肺合并呼吸衰竭疗效好,患者恢复更快,风险低。
Objective To investigate the curative effect of different mechanical ventilation modes in chronic obstructive pulmonary disease (COPD) with respiratory failure. Methods Fifty COPD patients with COPD combined with SIMV-PSV mode (experimental group) and BiPAP-PSV mode (control group) were selected from the Central Hospital of Jiaozuo Coal Mining Group. After treatment, albumin, Albumin and heart rate, adverse reactions and hospitalization time and other data were analyzed. Results The average length of stay in the experimental group was (11.2 ± 2.1) days and in the control group was (17.1 ± 3.1) days. Two cases in the experimental group had adverse reactions, and 8 cases in the control group had adverse reactions. The hospitalization time and adverse reactions in the two groups were significant Sex differences (P <0.05). The index of albumin, respiration rate and heart rate in both groups after treatment were all improved. The improvement in the experimental group was better than that in the control group, with significant difference (P <0.05). Conclusion SIMV-PSV mode of mechanical ventilation for COPD patients with respiratory failure has good curative effect, patients recover faster and with lower risk.