有创与无创序贯性机械通气治疗老年重症肺心病合并Ⅱ型呼吸衰竭的临床价值研究
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摘要
目的针对老年重症肺心病合并II型呼吸衰竭患者按照有创与无创序贯性机械通气治疗的对策加以分析。方法本次研究就按照对比治疗的方式展开,所纳入样本病例共计60例,均在本院2016年3月至2018年7月所接诊,按照随机抽选模式,取组内30例,以有创通气治疗,即对照组,余下30例则给予无创序贯性机械通气,观察组。对比疗效间差异。结果分析可知,在血氧分压、二氧化碳分压、通气时间以及整体住院时间等指标上,观察组均存在显著优势,P<0.05;观察组并发症发生率同样较低,P<0.05差异具备统计学意义。结论按照有创序贯性机械通气治疗的方式对老年重症肺心病合并II型呼吸衰竭患者进行治疗,针对患者各指标进行有效改善,缩短恢复时间。
Objective To analyze the treatment of elderly patients with severe pulmonary heart diseasecomplicated with type II respiratory failure according to the treatment of invasive and non-invasive sequentialmechanical ventilation. Methods The study was conducted in accordance with the method of comparative treatment.A total of 60 samples were included in the study. All patients were admitted to the hospital from March 2016 to July2018. According to the random selection model, 30 patients in the group were selected. Invasive ventilation therapy,the control group, the remaining 30 cases were given non-invasive sequential mechanical ventilation, observationgroup. Comparing the differences between the effects. Results showed that there were significant advantages in theobservation group, such as blood oxygen partial pressure, carbon dioxide partial pressure, ventilation time and overallhospitalization time, P< 0.05; the incidence of complications in the observation group was also low, P< 0.05, withstatistical significant difference. Conclusion According to the method of invasive sequential mechanical ventilation,elderly patients with severe pulmonary heart disease and type II respiratory failure are treated, and the indicators areeffectively improved to shorten the recovery time.
Objective To analyze the treatment of elderly patients with severe pulmonary heart diseasecomplicated with type II respiratory failure according to the treatment of invasive and non-invasive sequentialmechanical ventilation. Methods The study was conducted in accordance with the method of comparative treatment.A total of 60 samples were included in the study. All patients were admitted to the hospital from March 2016 to July2018. According to the random selection model, 30 patients in the group were selected. Invasive ventilation therapy,the control group, the remaining 30 cases were given non-invasive sequential mechanical ventilation, observationgroup. Comparing the differences between the effects. Results showed that there were significant advantages in theobservation group, such as blood oxygen partial pressure, carbon dioxide partial pressure, ventilation time and overallhospitalization time, P< 0.05; the incidence of complications in the observation group was also low, P< 0.05, withstatistical significant difference. Conclusion According to the method of invasive sequential mechanical ventilation,elderly patients with severe pulmonary heart disease and type II respiratory failure are treated, and the indicators areeffectively improved to shorten the recovery time.
引文
[1]李红建.有创无创序贯机械通气抢救重症老年呼吸衰竭患者的有效性与安全性[J].中国临床新医学,2016,9(2):142-146.
[2]杨艳芳.有创无创序贯机械通气抢救重症老年呼吸衰竭患者的有效性与安全性[J].河南医学研究,2017,26(2):336-337.
[3]刘建民.有创无创序贯机械通气抢救重症呼吸衰竭老年患者的有效性与安全性分析[J].中国当代医药,2017,24(10):27-29.
[4]贾晓旭.单纯有创和有创-无创序贯机械通气治疗ICU慢性肺心病急性期合并Ⅱ型呼吸衰竭患者疗效的对比分析[J].海军医学杂志,2017(2):141-144.
[5]刘轶.有创-无创序贯机械通气治疗老年慢支合并Ⅱ型呼吸衰竭患者的临床疗效分析[J].世界最新医学信息文摘,2016,16(90):99-100.
[2]杨艳芳.有创无创序贯机械通气抢救重症老年呼吸衰竭患者的有效性与安全性[J].河南医学研究,2017,26(2):336-337.
[3]刘建民.有创无创序贯机械通气抢救重症呼吸衰竭老年患者的有效性与安全性分析[J].中国当代医药,2017,24(10):27-29.
[4]贾晓旭.单纯有创和有创-无创序贯机械通气治疗ICU慢性肺心病急性期合并Ⅱ型呼吸衰竭患者疗效的对比分析[J].海军医学杂志,2017(2):141-144.
[5]刘轶.有创-无创序贯机械通气治疗老年慢支合并Ⅱ型呼吸衰竭患者的临床疗效分析[J].世界最新医学信息文摘,2016,16(90):99-100.