[1]陈 丽.序贯机械通气治疗老年重症肺炎的临床疗效观察[J].医学信息,2018,31(06):99-101.[doi:10.3969/j.issn.1006-1959.2018.06.031]
　CHEN Li.Clinical Effect of Sequential Mechanical Ventilation on Elderly Patients with Severe Pneumonia[J].Journal of Medical Information,2018,31(06):99-101.[doi:10.3969/j.issn.1006-1959.2018.06.031]
点击复制

序贯机械通气治疗老年重症肺炎的临床疗效观察()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年06期
页码:
99-101
栏目:
临床研究
出版日期:
2018-03-20

文章信息/Info

Title:
Clinical Effect of Sequential Mechanical Ventilation on Elderly Patients with Severe Pneumonia
文章编号:
1006-1959（2018）06-0099-03
作者:
陈 丽
北大医疗鲁中医院重症医学科，山东 淄博 255400
Author(s):
CHEN Li
Department of Intensive Medicine,Luzhong Hospital,Peking University Medical Center,Zibo 255400,Shandong,China
关键词:
序贯机械通气; 老年重症肺炎; 肺泡氧合功能
Keywords:
Key words：Sequential mechanical ventilation; Severe pneumonia in the elderly; Alveolar oxygenation function
分类号:
R563.1
DOI:
10.3969/j.issn.1006-1959.2018.06.031
文献标志码:
A
摘要:
目的 探讨序贯机械通气治疗老年重症肺炎患者疗效及对肺泡氧合功能的影响。方法 选取2015年6月～2017年6月在北大医疗鲁中医院住院治疗需行机械通气治疗的老年SCAP患者102例，随机分为两组，各51例，行有创机械通气治疗为常规组，有创机械通气序贯无创机械通气治疗为序贯组，观察两组疗效及肺泡氧合功能。结果 序贯组的总机械通气时间及住院时间均显著少于常规组(P＜0.05)，其呼吸机相关性肺炎发生率(VAP)显著低于常规组(P＜0.05)，而两组的再次插管率及院内死亡率差异不显著(P＞0.05)；序贯组的PaO2及HCO3-浓度显著高于常规组(P＜0.05)。结论 序贯机械通气治疗用于老年重症肺炎患者，可有效缩减患者机械通气时间，降低其VAP发生情况，提高患者肺泡氧合功能，临床疗效显著。
Abstract:
Abstract：Objective To investigate the effect of sequential mechanical ventilation on elderly patients with severe pneumonia and its effect on alveolar oxygenation function.Methods The patients who were hospitalized in Luzhong Hospital of Peking University from June 2015 to June 2017 were treated with mechanical ventilation.102 elderly patients with SCAP,the patients were randomly divided into two groups,51 cases in each group, treated with invasive mechanical ventilation as routine group and sequential non-invasive mechanical ventilation as sequential group.To observe the curative effect of the two groups and alveolar oxygenation.Results The total mechanical ventilation time of sequential group and hospitalization time were significantly less than the normal group(P<0.05),the incidence of ventilator-associated pneumonia(VAP)was significantly lower than normal group(P<0.05),while the reintubation rate and hospital mortality in the two groups no difference significant(P>0.05);PaO2 and HCO3-concentration in sequential group was significantly higher than that of the conventional group(P<0.05).Conclusion The sequential mechanical ventilation in elderly patients with severe pneumonia,which can effectively reduce the time of mechanical ventilation of patients,reduce the incidence of VAP, improve lung oxygenation function of patients with global,clinical curative effect is remarkable.

参考文献/References:

[1]张济祥,李日新,黄毅,等.老年肺炎呼吸衰竭患者有创机械通气治疗失败的危险因素探讨[J].实用老年医学,2016,30(11):936-938. [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]张海光,邓克勤,陈玮,等.序贯机械通气治疗重症肺炎患者呼吸衰竭的疗效[J].中华医院感染学杂志,2015,25(14):3224-3225. [4]中华医学会呼吸病学分会.社区获得性肺炎诊断和治疗指南[J].中华结核和呼吸杂志,2006,29(10):651-655. [5]李莉,王恺.老年重症肺炎患者机械通气的护理与疗效观察[J].湖南中医药大学学报,2013,33(8):75-76. [6]李蕾,闫登峰.有创-无创序贯机械通气在重症肺炎治疗中的应用[J].江苏医药,2016,42(4):464-465. [7]朱艳玲,田亮东,方华.有创-无创序贯通气对慢性阻塞性肺疾病急性加重合并Ⅱ型呼吸衰竭患者撤机的影响研究[J].实用心脑肺血管病杂志,2015,23(4):17-19. [8]刘文媛,郭璐,刘跃建.序贯通气治疗老年重症肺心病合并呼吸衰竭的疗效分析[J].实用医院临床杂志,2013,10(5):157-159. [9]胡容.序贯机械通气治疗改善重症肺炎合并呼吸衰竭患者肺泡氧合功能、全身炎症反应综合征的研究[J].海南医学院学报,2016,22(22):2707-2710. [10]权巧玲,李正盛,陈郁.重症肺炎合并呼吸衰竭患者治疗的临床效果分析[J].湖南中医药大学学报,2016,36(S2):699-700.

相似文献/References:

[1]戴国欣.老年重症肺炎合并低钠血症临床诊治的研究进展[J].医学信息,2018,31(04):4.[doi:10.3969/j.issn.1006-1959.2018.04.002]
　DAI Guo-xin.Advances in Clinical Diagnosis and Treatment of Severe Pneumonia Complicated with Hyponatremia in the Elderly[J].Journal of Medical Information,2018,31(06):4.[doi:10.3969/j.issn.1006-1959.2018.04.002]
[2]吴 萌,王 平.右美托咪啶对老年重症肺炎有创机械通气患者镇静效果研究[J].医学信息,2018,31(16):118.[doi:10.3969/j.issn.1006-1959.2018.16.036]
　WU Meng,WANG Ping.Effect of Dexmedetomidine on Sedation in Elderly Patients with Severe Pneumonia Undergoing Invasive Mechanical Ventilation[J].Journal of Medical Information,2018,31(06):118.[doi:10.3969/j.issn.1006-1959.2018.16.036]
[3]张小桐.护理干预对老年重症肺炎并发呼吸机相关性肺炎患者临床效果观察[J].医学信息,2019,32(08):182.[doi:10.3969/j.issn.1006-1959.2019.08.059]
　ZHANG Xiao-tong.Clinical Observation of Nursing Intervention on Elderly Patients with Severe Pneumonia Complicated with Ventilator-associated Pneumonia[J].Journal of Medical Information,2019,32(06):182.[doi:10.3969/j.issn.1006-1959.2019.08.059]

更新日期/Last Update: 2018-03-15