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《有創(chuàng)與無(wú)創(chuàng)序貫性機(jī)械通氣治療慢性阻塞性肺疾病致嚴(yán)重呼吸衰竭療效分析》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在工程資料-天天文庫(kù)。
1、有創(chuàng)與無(wú)創(chuàng)序貫性機(jī)械通氣治療慢性阻塞性肺疾病致嚴(yán)重呼吸衰竭療效分析【摘要】目的分析有??與無(wú)創(chuàng)序貫性機(jī)械通氣治療慢性阻塞性肺疾病致嚴(yán)重呼吸衰竭的臨床效果。方法64例慢性阻塞性肺疾病致嚴(yán)重呼吸衰竭患者，隨機(jī)分為對(duì)照組和實(shí)驗(yàn)組，各32例。對(duì)照組實(shí)施經(jīng)口氣管插管接呼吸機(jī)進(jìn)行輔助通氣治療，實(shí)驗(yàn)組患者采用有創(chuàng)與無(wú)創(chuàng)正壓通氣序貫治療；對(duì)比分析兩組患者臨床療效和臨床治療情況。結(jié)果實(shí)驗(yàn)組治療有效率為93.75%；對(duì)照組治療總有效率為71.88%；實(shí)驗(yàn)組治療總有效率顯著高于對(duì)照組，差異具有統(tǒng)計(jì)學(xué)意義。實(shí)驗(yàn)組患者有創(chuàng)通氣時(shí)間為h、機(jī)械通氣時(shí)間為h,住院時(shí)間為d,均顯著的短于對(duì)照組的h、h、d,
2、差異具有統(tǒng)計(jì)學(xué)意義。結(jié)論在慢性阻塞性肺疾病致嚴(yán)重呼吸衰竭患者的臨床治療中，有創(chuàng)與無(wú)創(chuàng)序貫性機(jī)械通氣治療可以有效的提高臨床治療效果，縮短患者的有創(chuàng)通氣時(shí)間、機(jī)械通氣時(shí)間和住院時(shí)間，在臨床中具有推廣和應(yīng)用價(jià)值?！娟P(guān)鍵詞】慢性阻塞性肺疾病；有創(chuàng)與無(wú)創(chuàng)序貫性機(jī)械通氣；呼吸衰竭；臨床療效DOI：10.14163/j.cnki.11-5547/r.2017.17.026Analysisofcurativeeffectbyinvasiveandnon-invasivesequentialmechanicalventilationinthetreatmentofsevererespirat
3、oryfailurecausedbychronicobstructivepulmonarydiseaseSHANGYu,LIXue-li.DepartmentTwoofRespiratoryMedicine,HeilongjiangHarbinCityFirstHospital,Harbin150010,China【Abstract]ObjectiveToanalyzeclinicaleffectbyinvasiveandnon-invasivesequentialmechanicalventilationinthetreatmentofsevererespiratoryf
4、ailurecausedbychronicobstructivepulmonarydisease?MethodsAtotalof64patientswithsevererespiratoryfailurecausedbychronicobstructivepulmonarydiseasewererandomlydividedintocontrolgroupandexperimentalgroup,with32casesineachgroup?Thecontrolgroupreceivedbreathingmachinethroughoraltracheacannulafor
5、assistedventilationtreatment,andtheexperimentalgroupreceivedinvasiveandnon-invasivesequentialmechanicalventilationfortreatment.Comparativeanalysiswasmadeonclinicaleffectsandclinicaltreatmentsituationbetweenthetwogroups?ResultsTheexperimentalgrouphadtotaleffectiverateintreatmentas93.75%,and
6、thecontrolgrouphadtotaleffectiverateintreatmentas71.88%?Theexperimentalgrouphadobviouslyhighertotaleffectiverateintreatmentthanthecontrolgroup,andthedifferencehadstatisticalsignificance?Theexperimentalgrouphadinvasiveventilationtimeash,mechanicalventilationtimeashandhospitalstaytimeasd,whi
7、chwereallobviouslyshorterthanh,handdinthecontrolgroup,andtheirdifferencehadstatisticalsignificance?ConclusionInclinicaltreatmentofpatientswithsevererespiratoryfailurecausedbychronicobstructivepulmonarydisease,invasiveandnon-invasivesequentialmechanicalventilat
