[1]李 辉.机械通气治疗ICU多发伤致急性呼吸窘迫综合征的效果[J].医学信息,2021,34(15):137-139.[doi:10.3969/j.issn.1006-1959.2021.15.037]
　LI Hui.Effect of Mechanical Ventilation on Acute Respiratory Distress Syndrome Caused by Multiple Injuries in ICU[J].Medical Information,2021,34(15):137-139.[doi:10.3969/j.issn.1006-1959.2021.15.037]
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机械通气治疗ICU多发伤致急性呼吸窘迫综合征的效果()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年15期
页码:
137-139
栏目:
临床研究
出版日期:
2021-08-01

文章信息/Info

Title:
Effect of Mechanical Ventilation on Acute Respiratory Distress Syndrome Caused by Multiple Injuries in ICU
文章编号:
1006-1959（2021）15-0137-03
作者:
李 辉
（徐州市丰县人民医院重症医学科，江苏 丰县 221700）
Author(s):
LI Hui
(Department of Critical Care Medicine,Fengxian People’s Hospital,Fengxian 221700,Jiangsu,China)
关键词:
多发伤致急性呼吸窘迫综合征; ICU; 机械通气; 血气分析; 肺部功能
Keywords:
Acute respiratory distress syndrome caused by multiple injuries; ICU; Mechanical ventilation; Blood gas analysis; Lung function
分类号:
R563.8
DOI:
10.3969/j.issn.1006-1959.2021.15.037
文献标志码:
A
摘要:
目的 探讨机械通气治疗ICU多发伤致急性呼吸窘迫综合征的临床效果。方法 选择2018年9月~2020年11月我院ICU收治的62例多发伤致急性呼吸窘迫综合征患者，按随机数字表法分为机械通气组和常规组，每组31例。常规组给予常规治疗，机械通气组在常规基础上给予机械通气治疗，比较两组临床疗效、血气指标、通气及ICU停留时间及呼吸机相关性肺炎（VAP）发生率。结果 机械通气组治疗有效率高于常规组（93.55% vs 77.42%），差异有统计学意义（P＜0.05）；机械通气组SBP、DBP、P/F、HR低于常规组，PaO2、PaCO2高于常规组，差异有统计学意义（P＜0.05）；机械通气组有创通气时间、机械通气总时间、ICU停留时间短于常规组[（4.51±0.65）d vs（6.97±1.02）d]、[（6.01±0.73）d vs（8.66±1.39）d]、[（163.48±19.02）h vs（216.39±23.57）h]，差异有统计学意义（P＜0.05）；机械通气组VAP发生率低于常规组（12.90% vs 29.03%），差异有统计学意义（P＜0.05）。结论 机械通气治疗ICU多发伤致急性呼吸窘迫综合征的临床效果确切，可有效稳定患者血气指标，缩短患者机械通气时间，保护肺部功能，且可降低VAP发生几率。
Abstract:
Objective To explore the clinical effect of mechanical ventilation in the treatment of acute respiratory distress syndrome caused by multiple injuries in ICU.Methods 62 patients with acute respiratory distress syndrome caused by multiple injuries who were admitted to the ICU of our hospital from September 2018 to November 2020 were selected and divided into a mechanical ventilation group and a conventional group according to a random number table, with 31 cases in each group.The routine group was given conventional treatment, and the mechanical ventilation group was given mechanical ventilation on a routine basis. The blood gas indexes, ventilation and ICU stay time, clinical efficacy and the incidence of ventilator-associated pneumonia (VAP) were compared between the two groups.Results The effective rate of treatment in the mechanical ventilation group was higher than that in the conventional group (93.55% vs 77.42%),the difference was statistically significant(P＜0.05);SBP, DBP, P/F and HR in the mechanical ventilation group were lower than those in the conventional group, PaO2 and PaCO2 were higher than those in the conventional group, the difference was statistically significant (P<0.05);The invasive ventilation time, total time of mechanical ventilation, and ICU stay time in the mechanical ventilation group were shorter than those in the conventional group [(4.51±0.65)d vs(6.97±1.02)d],[(6.01±0.73)d vs(8.66±1.39)d],[(163.48±19.02)h vs (216.39±23.57)h], the difference was statistically significant(P＜0.05); The incidence of VAP in the mechanical ventilation group was lower than that in the conventional group (12.90% vs 29.03%),the difference was statistically significant (P<0.05).Conclusion The clinical effect of mechanical ventilation in the treatment of acute respiratory distress syndrome caused by multiple injuries in ICU is definite.It can effectively stabilize the patient’s blood gas indicators, shorten the patient’s mechanical ventilation time, protect the lung function, and reduce the incidence of VAP.

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更新日期/Last Update: 1900-01-01