摘要
目的探讨内科急诊呼吸衰竭患者使用机械通气治疗的临床效果。方法选择2014年1月至2018年1月本科室110例内科急诊呼吸衰竭患者为研究对象,根据患者实际病情进行分组:无创组(n=40,无创通气)、无创转有创组(n=26,无创通气转有创通气)、有创组(n=44,有创通气)。比较不同方法的治疗效果。结果无创组患者治疗总有效率较有创组明显更高(χ2=4.318,P<0.05);无创转有创组的治疗总有效率与无创组、有创组比较,均无显著差异(χ2=0.221、1.083,P>0.05)。与有创组比较,无创组和无创转有创组的并发症总发生率明显更低(χ2=4.648、4.191,P<0.05)。结论内科急诊呼吸衰竭患者使用机械通气疗效良好,临床需根据患者实际病情选择合适的机械通气方式,以改善患者预后。
Objective To investigate the clinical effect of mechanical ventilation in patients with emergency respiratoryfailure in internal medicine. Methods From January 2014 to January 2018, 110 patients with emergency respiratory failurewere classified according to their actual conditions： non-invasive group （n=40, non-invasive ventilation）, non-invasive toinvasive group （n=26, non-invasive ventilation to invasive ventilation）, invasive group （n=44, invasive ventilation）. Theeffects of different treatment methods were comparde were compared. Results The total effective rate of non-invasive groupwas significantly higher than that of the invasive group （X2=4.318, P〈0.05）. Compared with the non-invasive to invasivegroup, the total effective rates in the non-invasive group and the invasive group had no significant difference（X2=0.221,1.083, P〉0.05） . Compared with the invasive group, the total incidences of complications in the non-invasive group and thenon-invasive to invasive group was significantly lower （X2=4.648, 4.191, P〈0.05） . Conclusion The use of mechanicalventilation in patients with emergency respiratory failure in internal medicine is effective. It is necessary to selectappropriate mechanical ventilation according to the patient＇s actual condition to improve the prognosis of patients.
作者
罗小川
LUO Xiao-chuan(Emergency Department,Hanzhong People＇s Hospital,Hanzhong 723000,China)
出处
《临床医学研究与实践》
2018年第25期17-18,共2页
Clinical Research and Practice
关键词
内科急诊呼吸衰竭
无创通气
有创通气
internal medicine emergency respiratory failure
non-invasive ventilation
invasive ventilation
