摘要
【摘要】 目的：观察无创序贯性机械通气与肺复张联合治疗急性呼吸窘迫综合征的临床应用效果。方法：随机选取 2018年 12月 -2019年 6月我院收治的急性呼吸窘迫综合征患者 50例，按照随机数字表法分为对照组与观察组。对照组 55例给予有创序贯性机械通气治疗，观察组 56例给予无创序贯性机械通气与肺复张联合治疗。比较两组患者临床疗效、预后指标、治疗前后生命体征及血气分析变化情况。结果：观察组治疗有效率（ 92.86%）显著高于对照组（ 74.55%），呼吸机相关性肺炎（ VAP）发生率（ 8.93%）与死亡率（ 1.79%）均低于对照组（ 27.27%、 10.91%），差异均有统计学意义（ P0.05），治疗后，观察组生命体征变化情况优于对照组， PaO2/FiO2、 PaO2、 SaO2均高于对照组， PaCO2低于对照组，差异均有统计学意义（ P 0.05). After treatment, the changes of vital signs in the observation group were better than those in the control group, PaO 2/FiO 2, PaO 2 and SaO 2 were higher than those in the control group, and PaCO 2 was lower than that in the control group, the difference was statistically significant (P < 0.05). CONCLUSION: Non-invasive sequential mechanical ventilation combined with pulmonary recruitment can stabilize vital signs of patients with acute respiratory distress syndrome, reduce hemodynamic effects, significantly improve oxygenation, reduce the incidence and mortality of VAP, and improve clinical efficacy.
出版日期
2019年07月17日（中国期刊网平台首次上网日期，不代表论文的发表时间）
