急诊应用无创正压通气的临床分析

目的对无创正压通气在急诊科临床应用的效果进行分析。方法以2006年6月～2010年6月急诊科收治82例急性呼吸衰竭患者的临床资料作为研究对象,根据其是否选择进行无创正压通气治疗将患者分为实验组和对照组。两组患者均进行基础治疗,实验组患者在接受基础治疗的同时还进行了无创正压通气治疗。结果实验组患者在接受治疗后血液pH值升高,PaCO2的含量下降,心率逐渐降低,与接受治疗前相比具有显著差异,而对照组患者在接受治疗后血液pH值、PaCO2的含量以及心率较治疗前变化不明显。两组患者在治疗总有效率方面差异明显但是在并发症发生率和病死率方面无明显差距。结论无创正压通气具有良好的治疗效果,但是在使用过程中必须注意根据患者的症状发展情况对其进行适当调节。

Objective To noninvasive positive pressure ventilation in the emergency department of clinical application effect is analyzed. Methods From June 2006 to June 2010,82 cases were our emergency department patients with acute respiratory failure of clinical data as the research object,according to its whether you choose noninvasive positive pressure ventilation patients were divided into treatment group and control group will. Two groups of patients were on the foundation treatment group patients undergoing foundation treatment at the same time also are researched and positive airway pressure treatment. Results The patients undergoing treatment blood after pH value increases,the content of PaCO2 decline,heartbeat gradually reduced,and accept before treatment compared with significant difference,while the control group patients undergoing treatment blood after the content of PaCO2 pH value,and heart rate than before treatment does not change significantly. Two groups of patients in the treatment of the total effective rate differences apparent but in complication rate and mortality without apparent differences. Conclusion Noninvasive positive pressure ventilation has good curative effect,but in the use process must be paid attention to by the patient＇s symptoms development situation of its proper adjustment.