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目的探讨无创通气在治疗肺栓塞合并呼吸衰竭患者中的应用。方法 2013年1月—2014年1月收治的肺栓塞合并呼吸衰竭患者中,选择其中40例,随机分进常规组和对照组,每组平均20例患者,常规组患者给予常规治疗肺栓塞合并呼吸衰竭,对照组在此基础上给予无创通气治疗,分别检测两组患者治疗前后的动脉血气指标以及心率、呼吸频率和血液氧饱和度,在进行对比,观察无创通气的治疗疗效。结果行常规治疗加无创通气治疗的对照组比行常规治疗的常规组患者的动脉血气指标明显好,同时对照组患者的心率、呼吸频率以及血液氧饱和度比常规组明显好,差异具有统计学意义。结论无创通气在肺栓塞合并呼吸衰竭治疗中效果显著,值得临床的应用和推广。
Objective To explore the application of noninvasive ventilation in the treatment of patients with pulmonary embolism and respiratory failure. Methods Forty patients with pulmonary embolism and respiratory failure who were admitted to our hospital from January 2013 to January 2014 were selected and randomly divided into routine and control groups, with an average of 20 in each group. Patients in the conventional group were given routine treatment of pulmonary embolism Respiratory failure, the control group on the basis of non-invasive ventilation treatment were detected before and after treatment of two groups of patients with arterial blood gas and heart rate, respiratory rate and blood oxygen saturation, were compared to observe the efficacy of non-invasive ventilation. Results Compared with the conventional group, the control group received conventional therapy and noninvasive ventilation, the arterial blood gas index was significantly better than that of the routine group, and the heart rate, respiratory rate and blood oxygen saturation of the control group were significantly better than those of the conventional group significance. Conclusion Noninvasive ventilation has significant effect in the treatment of pulmonary embolism combined with respiratory failure, which is worthy of clinical application and promotion.