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目的:探讨分析肺保护和肺复张通气策略临床治疗急性呼吸窘迫综合征(ARDS)的应用效果。方法:将我院收治的50例ARDS患者随机分为研究组和对照组,对照组仅采用肺保护性策略治疗,即在常规治疗基础之上,采用最佳呼吸末正压(PEEP)和小潮气量的保护性通气策略行机械通气;研究组则在对照组基础上再行肺复张性通气策略治疗,比较两组患者肺复张前后的氧合指数、动脉CO2分压以及气压伤的出现情况。结果:两组患者在肺复张后的氧合指数明显改善(P<0.05),动脉CO2分压明显降低(P<0.05),气压伤的发生率无显著性差异(P>0.05)。结论:采用肺保护和肺复张的通气策略联合治疗ARDS安全有效,临床效果显著,值得推广使用。
Objective: To investigate the clinical effects of pulmonary protection and pulmonary reexpansion ventilation in the treatment of acute respiratory distress syndrome (ARDS). Methods: Fifty patients with ARDS admitted to our hospital were randomly divided into study group and control group. The control group was treated with pulmonary protective strategy only. On the basis of routine treatment, PEEP and tidal wave Volume of protective ventilation strategy of mechanical ventilation; the study group was based on the control group and pulmonary re-rectal ventilation strategy treatment, lung oxygenation before and after the two groups compared oxygenation index, partial pressure of arterial CO2 pressure and the emergence of barotrauma Happening. Results: The oxygenation index of the two groups significantly improved (P <0.05), the partial pressure of CO2 decreased significantly (P <0.05) and the incidence of barotrauma was no significant difference (P> 0.05). Conclusion: The combination of lung protection and pulmonary recurrent ventilation strategy for the treatment of ARDS is safe and effective, and the clinical effect is significant. It is worth using widely.