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目的评价不同通气模式对重症肺源性心脏病呼吸衰竭的治疗效果。方法研究对象取80例重症肺源性心脏病呼吸衰竭患者,患者均于2013年1月份到2015年10月份入院治疗。随机性分组,两组患者均实施常规治疗,对照组采用有创通气,共40例;实验组采用有创-无创序贯通气,共40例。对两组患者的治疗情况进行观察,并记录和比较两组患者的治疗效果。结果患者PaO_2、PaCO_2得到改善,实验组改善情况较理想,与对照组数据比较差异性显著,有统计学意义,P<0.05;两组患者p H水平差异性不明显,P>0.05;实验组患者机械通气时间、平均住院时间较短,与对照组数据比较差异性明显,有统计学意义,P<0.05。实验组肺炎发生率较低,与对照组数据比较差异性显著,有统计学意义,P<0.05。结论应用有创-无创序贯通气对重症肺源性心脏病呼吸衰竭进行治疗,相比有创通气治疗更为有效,对患者血气指标改善有积极意义,且通气治疗时间短,患者恢复快,值得推荐。
Objective To evaluate the therapeutic effects of different ventilation modes on respiratory failure in patients with severe cor pulmonale. Methods The subjects were 80 patients with severe cor pulmonale respiratory failure, patients were admitted to hospital from January 2013 to October 2015. Randomized grouping, both groups were given conventional treatment, the control group with invasive ventilation, a total of 40 cases; experimental group with invasive - noninvasive sequential ventilation, a total of 40 cases. The treatment of the two groups of patients was observed, and the treatment effect was recorded and compared between the two groups. Results The PaO_2 and PaCO_2 were improved in the experimental group and the improvement in the experimental group was better than that in the control group (P <0.05). There was no significant difference in p H between the two groups (P> 0.05). The experimental group Patients with mechanical ventilation time, the average length of hospital stay shorter, compared with the data of the control group, the difference was statistically significant, P <0.05. The incidence of pneumonia in the experimental group was lower than that in the control group, with significant difference (P <0.05). Conclusions The invasive and noninvasive sequential ventilation is effective in treating respiratory failure of patients with severe cor pulmonale, which is more effective than invasive invasive ventilation. It has a positive effect on the improvement of blood gas indexes in patients with short duration of ventilatory treatment and rapid recovery of patients. Recommended.