无创机械通气治疗急性呼吸窘迫综合征临床分析

目的：探讨无创机械通气治疗急性呼吸窘迫综合征的临床疗效。方法：选取2007年1月-2010年1月进入我院监护室的急性呼吸窘迫综合征患者96例,在综合治疗的基础上,对其进行无创机械通气治疗,观察患者治疗前与治疗后的呼吸频率、心率、血压、pH、SaO2、PaO2、PaCO3、氧合指数（PaO2/FiO2）等指标。结果：96例急性呼吸窘迫综合征患者经过无创机械通气治疗后,原有呼吸困难症状明显改善,pH、SaO2、PaO2、PaO2/FiO2等指标上升明显,与治疗前相比差异有统计学意义（P〈0.05）;呼吸频率、心率、血压、PaCO3等指标明显下降,与治疗前相比差异有统计学意义（P〈0.05）。结论：无创机械通气治疗能够迅速缓解急性呼吸窘迫综合征患者的临床症状,并改善患者的各项血气指标,值得在临床中推广应用。

Clinical analysis of non-invasive mechanical ventilation for acute respiratory distress syndrome

Objective： To investigate the efficacy of the non-invasive mechanical ventilation in acute respiratory distress syndrome.Methods： 96 patients with acute respiratory distress syndrome from January 2007 to January 2010 in our hos-pital were selected,they were used non-invasive mechanical ventilation on the basis of the combined treatment.Before and after treatment respiratory rate,heart rate,blood pressure,pH,SaO2,PaO2,PaCO3,oxygenation index（PaO2/FiO2） were measured.Results： After treatment of 96 cases with acute respiratory distress syndrome,the original difficulty breathing symptoms improved,pH,SaO2,PaO2,PaO2/FiO2 increased significantly,there was a significant difference compared with before treatment（P〈0.05）;respiratory rate,heart rate,blood pressure,PaCO3 decreased significantly compared with before treatment（P〈0.05）.Conclusion： Non-invasive mechanical ventilation in acute respiratory distress syndrome can quickly relieve the clinical symptoms and improve the blood gas analysis in patients,it is worthy of clinical use.