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目的探讨呼吸阶梯性治疗在急危重症患者中的应用效果。方法选取2014年7月—2015年7月中国人民解放军161医院收治的急危重症患者120例,采用随机数字表法分为对照组和观察组,每组60例。对照组患者采用常规呼吸支持抢救方法,观察组患者采用呼吸阶梯性治疗。比较两组患者呼吸支持方式、呼吸复苏成功率及达到呼吸稳定所需时间。结果两组患者中行鼻导管吸氧、呼吸机支持、开放气道、气管插管、面罩给氧及环甲膜穿刺者所占比例比较,差异无统计学意义(P>0.05)。观察组患者中行体位复苏者比例高于对照组,行气管切开者所占比例低于对照组,差异有统计学意义(P<0.05)。观察组患者呼吸复苏成功率高于对照组(P<0.05)。观察组患者达到呼吸稳定所需时间短于对照组(P<0.05)。结论呼吸阶梯性治疗能有效提高急危重症患者呼吸复苏成功率,缩短达到呼吸稳定所需时间。
Objective To investigate the application of respiratory ladder therapy in critically ill patients. Methods From July 2014 to July 2015, 120 cases of critically ill patients admitted to Chinese People’s Liberation Army 161 Hospital were divided into control group and observation group by random number table method, with 60 cases in each group. The control group of patients with conventional respiratory support rescue method, the observation group of patients with respiratory ladder treatment. The respiratory support, respiratory resuscitation success rate and the time needed to achieve respiratory stability were compared between the two groups. Results There was no significant difference between the two groups in the proportion of nasal catheter oxygen inhalation, ventilator support, open airway, endotracheal intubation, mask oxygen supply and annular membrane puncture (P> 0.05). In the observation group, the proportion of patients with body position resuscitation was higher than that of the control group, and the proportion of patients who underwent tracheotomy was lower than that of the control group (P <0.05). The success rate of respiratory resuscitation in observation group was higher than that in control group (P <0.05). Patients in the observation group had shorter respiratory stability than those in the control group (P <0.05). Conclusion Respiratory ladder treatment can effectively improve the success rate of respiratory resuscitation in critically ill patients, shorten the time required to achieve respiratory stability.