摘要
目的:探索无创呼吸机用于老年重症肺炎中的治疗效果。方法:选取2014年5月-2016年5月赣南医学院第一附属医院和赣州市人民医院收治的老年重症肺炎患者86例作为研究对象,根据治疗方法的不同将患者分为观察组和对照组,各43例。对照组患者采用常规对症疗法联合有创呼吸机治疗,观察组患者采用常规对症疗法联合无创呼吸机治疗,对比分析两组患者的肺功能指标、血气分析指标等。结果:观察组患者的存活率为93.02%,高于对照组的76.74%,差异有统计学意义(P<0.05)。治疗2 h时,观察组存活患者的PEF值明显高于对照组存活患者,且观察组存活患者的HR值和PEEPi值均低于对照组,差异均有统计学意义(P<0.05)。两组存活患者治疗前后的血气分析指标值比较,差异均无统计学意义(P>0.05)。观察组存活患者的住院时间和通气时间均短于对照组,且治疗2 h时APACHEⅡ评分低于对照组,差异均有统计学意义(P<0.05)。结论:无创呼吸机在老年重症肺炎治疗中应用效果确切,有助于快速减轻患者的临床症状,且操作方法简单,对患者的创伤小,患者恢复快,值得在临床上推广应用。
Objective： To explore the effect of noninvasive ventilator in the treatment of severe pneumonia in elderly patients.Method： 86 patients were randomly selected from the First Affiliated Hospital of Gannan Medical University and Ganzhou People＇s Hospital from May 2014 to May 2016.According to the different treatment methods, the patients were divided into observation group and control group, 43 cases in. each group.The patients in control group were treated with conventional symptomatic therapy and invasive ventilator, the patients in observation group were treated with conventional symptomatic therapy and noninvasive ventilator.The lung function and blood gas analysis were compared between the two groups.Result： The survival rate of the observation group was 93.02%, which higher than 76.74% in control group, the difference was statistically significant （ P〈0.05 ） .2 h after treatment, the PEF of survival of patients in observation group was significantly higher than that in control group, and the HR and PEEPi of observation group were lower than those in control group, the differences were statistically significant （ P〈0.05 ） .There were no significant differences between the two groups in the blood gas analysis before and after treatment （ P〉0.05 ） .The hospitalization time and ventilation time in observation group were shorter than those in control group, and the APACHE Ⅱ score lower than in control group, the differences were statistically significant （P〈0.05） .Conclusion： The noninvasive ventilator is effective in the treatment of severe pneumonia in the elderly, it is helpful to quickly relieve the clinical symptom of the patient, the operation method is simple, the trauma is small and the patient＇s recovery is quick, it is worth popularizing and applying in clinic.
出处
《中国医学创新》
CAS
2017年第9期132-135,共4页
Medical Innovation of China
关键词
无创呼吸机
老年重症肺炎
肺功能
APACHEⅡ评分
Noninvasive ventilator
Senile severe pneumonia
Pulmonary function
Acute Physiology and Chronic Health Evaluation Ⅱ score
作者简介
通信作者：刘欣
