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目的研究无创机械通气(NIV)用于早期急性呼吸窘迫综合征(ARDS)的值。方法对2006年8月至2009年8月本院早期ARDS30例患者,用NIV对患者进行呼吸支持。患者在出现气管插管指征时,则予以气管插管行有创机械通气。最终28例患者完成NIV治疗,观察患者NIV前及后2、8、12h生命体征、血气、急性生理学与慢性健康状况评分系统H(APACHEII)评分变化。结果患者上机后2h、8h、12hpH、PaO2、SaO2、OI、APACHEII与上机前相比,差异均有统计学意义(P<0.05)。结论 NIV能改善早期ARDS患者氧合状况,避免有创机械通气及并发症的发生,是早期ARDS的重要治疗手段之一。
Objective To investigate the value of noninvasive mechanical ventilation (NIV) for early acute respiratory distress syndrome (ARDS). Methods From August 2006 to August 2009, 30 patients with early ARDS in our hospital were treated with NIV for respiratory support. In patients with indications for endotracheal intubation, tracheal intubation was performed with invasive mechanical ventilation. The final 28 patients completed NIV treatment. The changes of vital signs, blood gas, acute physiology and chronic health assessment system H (APACHEII) scores before and after NIV were observed at 2, 8 and 12 h after NIV. Results Compared with those before operation, the difference was statistically significant (P <0.05) .2h, 8h, 12hpH, PaO2, SaO2, OI, Conclusion NIV can improve the oxygenation status of patients with early ARDS and avoid the occurrence of invasive mechanical ventilation and complications, which is one of the important treatments for early ARDS.