急危重症患者急诊呼吸阶梯性治疗分析

Analysis on intensive patient used stepwise respiratory support in emergency

目的分析对急危重症患者进行急诊抢救时采取呼吸阶梯性治疗的临床效果。方法将108例急危重症患者随机分为传统呼吸支持组和呼吸阶梯性治疗组各54例。传统呼吸支持组给予传统呼吸支持治疗,呼吸阶梯性治疗组给予呼吸阶梯性治疗。比较2组呼吸支持方式下呼吸复苏的稳定率及呼吸稳定时间。结果 2组采取的呼吸支持方式位于前3位的均为鼻导管吸氧、复苏体位及呼吸机支持。呼吸阶梯性治疗组的呼吸复苏率明显高于传统呼吸支持组,呼吸稳定时间明显短于传统呼吸支持组,差异均有统计学意义(P<0.05)。结论对急危重症患者采取呼吸阶梯性治疗可提高抢救成功率,降低病死率,值得临床推广使用。

Objective To analyze the therapeutic effect of intensive patient used stepwise respiratory support in emergency. Methods 100 eases intensive patients were divided into stepwise respiratory support group and traditional respiratory support group, each of 54 cases. Traditional respiratory support group were given the traditional respiratory support therapy, stepwise respiratory support group were given stepwise respiratory support treatment. Compared the way of respiratory support, respiratory recovery stabilize rate and respiratory stabilization time of two groups. Results Respiratory support method of two groups taken in the top three were nasal cannula oxygen, recovery position and ventilator support. Respiratory recovery rate of stepwise respiratory support group was significantly higher than that of traditional respiratory support group, respiratory stabilization time was significantly shorter than that of traditional respiratory support group, there were significant difference （ P 〈 0.05 ）. Conclusion Intensive patient used stepwise respiratory support can increase the successful ratio of rescue and reduce the mortality ratio, is widely used in clinical treatment.