序贯(无创-有创-无创)呼吸机辅助通气治疗左心衰竭伴呼吸衰竭的临床分析

目的探讨序贯(无创-有创-无创)呼吸机辅助通气治疗左心衰竭伴呼吸衰竭的临床疗效。方法随机选取我科2007年7月至2012年7月收治的64例左心衰竭伴呼吸衰竭患者,将随机分为观察组和对照组,每组各32例,观察组采用序贯(无创-有创-无创)呼吸机辅助通气治疗,对照组采用有创呼吸机辅助通气治疗。结果观察组的治疗效果明显优于对照组,气管插管难易度低和风险少,呼吸机通气时间、平均住院时间、呼吸机相关肺炎(VAP)发生率均低于对照组,两组对比有差异(P<0.05),动脉氧分压早期改善缓慢,远期无明显差别。结论序贯(无创-有创-无创)呼吸机辅助通气治疗左心衰竭伴呼吸衰竭的效果良好,可有效降低并发症发生率,提高抢救成功率。

Clinical Analysis of Mechanical Ventilation Treatment of Left Heart Failure with Respiratory Failure

Objective To study the sequential（noninvasive-gen-noninvasive）breathing machine auxiliary ventilation treatment the clinical curative effect of left heart failure with respiratory failure. Methods Randomly selected from our department in July 2007-July 2012 treated 64 cases of patients with respiratory failure with left heart failure, will be randomly divided into observation group and control group, 32 cases in each group, Observation group USES the sequential（noninvasive-gen-noninvasive）breathing machine auxiliary ventilation treatment, control group adopts a breathing machine auxiliary ventilation therapy, Observe two groups of patients with tracheal intubation difficulty level and risk, the computer 2 hours and 12 hours and 24 hours aRer arterial oxygen partial pressure to improve the situation, the breathing machine ventilation time, average length of hospital stay, the incidence of ventilator associated pneumonia （VAP）.Results The curative effect of observation group was better than control group, endotracheal intubation difficulty level is low and less risk, breathing machine ventilation time, average length of hospital stay, the incidence of ventilator associated pneumonia（VAP）are lower than the control group, there are differences between the two groups of contrast（P〈0.05）, There was no evident difference early arterial oxygen partial pressure improved slowly, forward. Conclusion Sequential（noninvasive-gen-noninvasive）breathing machine auxiliary ventilation for the treatment of left heart failure with respiratory failure is good, can effectively reduce the incidence of complications, improve the success rate of rescue.