论文部分内容阅读
目的分析探讨机械通气治疗神经内科疾病合并急性呼吸衰竭的临床效果。方法将100例神经内科疾病合并急性呼吸衰竭的患者作为研究对象,所有患者在常规治疗的同时给予机械通气吸氧,对比患者治疗前后呼吸指标、血气分析以及症状和体征的改善情况。结果 100例患者进行机械通气30 min后,呼吸困难、发绀、心动过速、血压等均有明显的改善。脉搏血氧饱和度在40 min后均达到了90%;呼吸频率(20.47±5.12)次/min、心率(88.39±22.10)次/min和动脉二氧化碳分压(Pa CO2)(39.27±9.82)mm Hg(1 mm Hg=0.133 k Pa)比治疗前(26.79±6.70)次/min,(105.47±26.37)次/min,(72.83±18.21)mm Hg明显降低,动脉血氧分压(Pa O2)(94.87±23.72)mm Hg比治疗前(59.03±14.76)mm Hg明显升高,差异均具有统计学意义(P<0.05)。结论对神经内科疾病并发急性呼吸衰竭的患者及早进行机械通气,并根据呼吸衰竭的发病机制及通气障碍的类型来选择通气模式,能明显提高治疗效果。
Objective To analyze the clinical effect of mechanical ventilation on neurological diseases with acute respiratory failure. Methods A total of 100 patients with neurological diseases complicated with acute respiratory failure were enrolled in this study. All patients were given mechanical ventilation and oxygen during routine treatment. The patients’ respiratory index, blood gas analysis and the improvement of symptoms and signs were compared before and after treatment. Results 100 cases of mechanical ventilation for 30 min, dyspnea, cyanosis, tachycardia, blood pressure were significantly improved. The pulse oxygen saturation reached 90% after 40 min. The respiratory rate (20.47 ± 5.12) / min, heart rate (88.39 ± 22.10) / min and arterial carbon dioxide pressure (Pa CO2) (39.27 ± 9.82) mm Hg (1 mm Hg = 0.133 kPa) was significantly lower than that before treatment (26.79 ± 6.70) /min, (105.47 ± 26.37) times / min, (72.83 ± 18.21) mm Hg, PaO2 (94.87 ± 23.72) mm Hg was significantly higher than that before treatment (59.03 ± 14.76) mm Hg, the difference was statistically significant (P <0.05). Conclusions Early ventilation in patients with neurological diseases complicated with acute respiratory failure and the selection of ventilatory modes according to the pathogenesis of respiratory failure and the type of ventilatory failure can significantly improve the therapeutic effect.