无创机械通气治疗急性呼吸窘迫综合征的临床观察

目的 观察无创机械通气治疗急性呼吸窘迫综合征(ARDS)的临床疗效.方法 72例急性呼吸窘迫综合征患者在常规治疗(药物治疗+吸氧)基础上加用无创机械通气,观察患者治疗前后临床症状和动脉血气分析.结果 给予无创机械通气后患者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、PaCO2,等指标明显下降,与治疗前相比差异有统计学意义(P<0.05).动脉血气PaO2明显上升(P<0.05),PaCO2下降明显(P<0.05).结论 无创机械通气治疗能有效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 observation of non-invasive mechanical ventilation for acute respiratory distress syndrome

Objective To investigate the clinical efficacy of the non-invasive mechanical ventilation in acute respiratory distress syndrome.Methods 72 patients with acute respiratory distress syndrome were used non-invasive mechanical ventilation on the basis of the conventional therapy(drug treatment+oxygen).Before and after treatment,clinical symptoms and arterial blood gas analysis were measured.Results After treatment,the original dificulty breathing symptoms of patients improved,pH,SaO2,PaO2,PaO2/FiO2 increased significantly,and there were significant differences compared with before treatment(P<0.05);respiratory rate,heart rate,blood pressure,PaCO2 decreased significantly compared with before treatment with significant differences(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 clinically use.