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目的探讨有创-无创序贯机械通气在急性呼衰治疗的临床意义。方法将38例急性呼衰患者随机分为两组,其中观察组给予有创-无创序贯机械通气,对照组给予有创机械通气。观察患者病情变化、血气分析、呼吸机相关肺炎、死亡数、机械通气时间。结果两组患者在有创通气时间、机械通气时间、住院时间,住院患者死亡率比较具有显著性差异。结论有创-无创序贯机械通气可降低急性呼吸衰竭患者呼吸机相关肺炎发生率,缩短机械通气和住院时间,提高疗效。
Objective To investigate the clinical significance of invasive-noninvasive sequential mechanical ventilation in the treatment of acute respiratory failure. Methods Thirty-eight patients with acute respiratory failure were randomly divided into two groups. The observation group received invasive-noninvasive sequential mechanical ventilation while the control group received invasive mechanical ventilation. Observe the patient’s condition changes, blood gas analysis, ventilator-associated pneumonia, the number of deaths, mechanical ventilation time. Results The two groups of patients in invasive ventilation time, mechanical ventilation time, hospital stay, hospital mortality was significantly different. Conclusions Innovative noninvasive sequential mechanical ventilation can reduce the incidence of ventilator-associated pneumonia in patients with acute respiratory failure, shorten the duration of mechanical ventilation and hospital stay, and improve the curative effect.