|
|||||
|
|
| 有创与无创序贯通气治疗慢性阻塞性肺疾病呼吸衰竭26例 | |
| 引用本文： | 张元荣. 有创与无创序贯通气治疗慢性阻塞性肺疾病呼吸衰竭26例[J]. 社区医学杂志, 2008, 6(17): 9-10 |
| 作者姓名： | 张元荣 |
| 作者单位： | 泰安市中心医院急诊内科,山东泰安,27100 |
| 摘 要： | 目的探讨有创与无创机械通气在慢性阻塞性肺疾病(Chronic obstructive pulmonary disease,COPD)并急性呼吸衰竭中的疗效。方法将26例COPD并急性呼吸衰竭患者随机平均分为两组。治疗组给予有创-无创序贯机械通气;对照组给予有创机械通气。观察两组患者病情变化、血气分析、呼吸机相关肺炎(Ventilator-associated pneumonia,VAP)、死亡数、机械通气时间等。结果治疗组及对照组患者发生VAP的例数分别为0和4例(P<0.05),总机械通气时间为(11.8±6.3)d和(23.1±14.7)d(P<0.05),住院时间为(14±6)d和(19±13)d(P<0.05)。结论在适当时机将有创通气改为无创通气,可降低COPD并急性呼吸衰竭患者VAP发生率,缩短机械通气和住院时间,明显提高治疗效果。 |
| 关 键 词： | 机械通气 COPD 急性呼吸衰竭 肺部感染控制窗 |
Treatment Effects of Sequential Noninvasive-invasive Mechanical Ventilation on COPD Patients with Respiratory Failure |
|
| ZHANG Yuan-rong. Treatment Effects of Sequential Noninvasive-invasive Mechanical Ventilation on COPD Patients with Respiratory Failure[J]. journal of community medicine, 2008, 6(17): 9-10 | |
| Authors: | ZHANG Yuan-rong |
| Affiliation: | ZHANG Yuan-rong. The Central Hospital Of Taian City,Taian 271000,China. |
| Abstract: | Objective To investigate the therapeutic effects of chronic obstructive pulmonary disease (COPD)with acute respiratory failure(ARF)using sequential invasive-noninvasive mechanical ventilation. Methods 26 COPD patients with ARF were divided into two groups,each group having 13 cases.The thera- py group was treated with sequential invasive-noninvasive mechanical ventilation,and the contrast group was treated with invasive mechanical ventilation.The two groups were compared on the measures of progress of the d... |
| Keywords: | COPD |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |