论文部分内容阅读
目的观察无创通气治疗重症肺炎的临床效果。方法 50例重症肺炎患者随机划分为实验组和对照组,每组25例,两组均给予常规抗感染、血管活性药、强心、鼻导管吸氧及超声雾化治疗,实验组又给予了无创双水平正压通气治疗。观察两组治疗效果。结果实验组治疗总有效率100.0%明显好于对照组84.0%,差异有统计学意义(P<0.05);治疗后48 h实验组的p H值、动脉血氧分压(Pa O2)、动脉二氧化碳分压(Pa CO2)改善程度远好于对照组,差异有统计学意义(P<0.05);两组并发症各2例,差异无统计学意义(P>0.05)。结论早期根据患者的病情特点进行无创通气治疗,可以改善患者动脉血气分析和临床症状,提高患者治疗效果。
Objective To observe the clinical effect of noninvasive ventilation in the treatment of severe pneumonia. Methods Fifty patients with severe pneumonia were randomly divided into experimental group and control group, with 25 cases in each group. Both groups were given conventional anti-infective, vasoactive drugs, cardiac, nasal oxygenation catheter and ultrasonic atomization, and the experimental group was given Non-invasive bi-level positive pressure ventilation treatment. Observation of two groups treatment effect. Results The total effective rate (100.0%) in the experimental group was significantly better than that in the control group (84.0%), the difference was statistically significant (P <0.05); at 48 h after treatment, the p H value, Pa O2, The partial pressure of CO2 (Pa CO2) improved much better than the control group, the difference was statistically significant (P <0.05). There were 2 complications in each group, the difference was not statistically significant (P> 0.05). Conclusion Early non-invasive ventilation treatment according to the characteristics of the patient’s condition can improve arterial blood gas analysis and clinical symptoms, and improve the treatment effect of patients.