摘要
目的探讨早期无创通气(NIMV)对胸部创伤患者的临床价值。方法选择2007年4月至2012年4月医院收治的胸部创伤患者45例,按随机数字表法分为两组,NIMV组23例,对照组22例,两组均采用常规治疗,NIMV组在常规治疗基础上加早期NIMV;对照组加中高流量持续鼻导管吸氧,比较两组的疗效。结果两组患者治疗后急性肺损伤(ALI)、急性呼吸窘迫综合征(ARDS)、脓毒症、激素使用、合并脏器功能障碍及住院时间比较,差异有统计学意义(P<0.05)。结论早期NIMV干预,明显减少中转气管内插管率,有效降低肺损伤发生率,并明显缩短住院时间,减少医疗费用,但并未提高患者的生存率。
Objective To investigate the clinical therapeutic effect of early non-invasive mechanical ventilation（NIMV） in the patients with chest injury.Methods Forty-five patients with chest injury admitted to our hospital from April 2007 to April 2012 were selected and divided into two groups according to the random digits table,23 cases in the NIMV group and 22 cases in the control group.Both two groups accepted the conventional therapy,the NIMV group accepted early NIMV and the control group adopted the high-flow continual oxygen supply by nasal catheter.The therapeutic effects were compared between the two groups.Results The statistical differences were observed between two groups in acute lung injury（ALI）,ARDS,sepsis,glucocorticoid use,complicating organ dysfunction and the hospital stay（P0.05）.Conclusion Early NIMV can significantly reduce the rate of converting to endotracheal intubation,effectively decrease the incidence rate of ALI,shorten the length of hospital stay and reduce the medical costs,but without improving the survival rate.
出处
《重庆医学》
CAS
CSCD
北大核心
2013年第9期1012-1013,1016,共3页
Chongqing medicine
关键词
无创通气
气管内插管
临床症状
胸部创伤
non-invasive mechanical ventilation
endotracheal intubation
clinical symptoms
chest injury
