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无创双水平气道正压通气治疗不同病因致急性呼吸衰竭的临床观察
引用本文:温振杰,陈军,刘建凌. 无创双水平气道正压通气治疗不同病因致急性呼吸衰竭的临床观察[J]. 中国医药指南, 2014, 0(31): 38-38
作者姓名:温振杰  陈军  刘建凌
作者单位:清远市人民医院ICU,广东清远511500
摘    要:目的探讨无创双水平气道正压通气治疗不同病因致急性呼吸衰竭临床效果。方法选择急性呼吸衰竭患者共48例,根据不同病因分为观察组(心源性肺水肿)和对照组(重症肺炎)。两组均实施无创双水平气道正压通气治疗。观察两组治疗效果。结果观察组治疗后的动脉血气指标分别和对照组治疗6h后的动脉血气指标比较,差异有统计学意义(P<0.05)。观察组患者症状缓解时间、无创双水平正压通气治疗时间、住院时间、气管插管发生分别和对照组比较,差异有统计学意义(P<0.05)。结论无创双水平气道正压通气对心源性肺水肿和重症肺炎所致急性呼吸衰竭均有显著治疗效果,但对心源性肺水肿所致急性呼吸衰竭效果更佳。

关 键 词:急性呼吸衰竭  不同病因  无创双水平气道正压通气

The Clinical Observation of Noninvasive Bilevel Positive Airway Pressure Ventilation on Acute Respiratory Failure Caused by Different Etiology
WEN Zhen-fie,CHEN Jun,LIU Jian-ling. The Clinical Observation of Noninvasive Bilevel Positive Airway Pressure Ventilation on Acute Respiratory Failure Caused by Different Etiology[J]. Guide of China Medicine, 2014, 0(31): 38-38
Authors:WEN Zhen-fie  CHEN Jun  LIU Jian-ling
Affiliation:(Department of ICU, Qingyuan People's Hospital, Qingyuan 511500, China)
Abstract:Objective To explore the effect of noninvasive bilevel positive airway pressure ventilation on acute respiratory failure caused by different etiology. Methods 48 cases with acute respiratory failure were divided into observation group (cardiogenic pulmonary edema) and control group (severe pneumonia) according to different causes. The two groups underwent noninvasive bilevel positive airway pressure ventilation. The therapeutic effect of two groups was observed . Results The arterial blood gas indexes in the observation group compared with those in control group after six hours treatment respectively,the difference was statistically significant (P〈0.05).The symptoms time, noninvasive bilevel positive pressure ventilation time, hospitalization time, tracheal intubation occurred in the observation group compared with those in control group after treatment respectively, the difference was statistically significant (P〈0.05).Conclusion The noninvasive bilevel positive airway pressure ventilation on acute respiratory failure caused by acute cardiogenic pulmonary edema or severe pneumonia has significant effect, but its efficacy in patients with cardiogenic pulmonary edema is better.
Keywords:Acute respiratory failure  Different etiology  Noninvasive bilevel positive airway pressure ventilation
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