呼吸机治疗急性呼吸窘迫综合征的临床效果观察

Observation of clinical effects of ventilator treatment of acute respiratory distress syndrome

目的研究呼吸机对急性呼吸窘迫综合征患者的影响。方法本院2008年4月～2012年4月收治的46例急性呼吸窘迫综合征患者,利用呼吸机进行治疗,记录患者的恢复情况。结果患者经过治疗后,心率、血压情况有明显改善,PaO2、PaCO2情况较治疗前有显著提高,平均动脉压(SBP)较治疗前有所降低,血氧饱和度(SaO2)较治疗前明显增高,患者死亡率明显低于一般水平,差异有统计学意义(P<0.05)。结论对急性呼吸窘迫综合征患者进行呼吸机治疗,效果显著,能有效降低患者死亡率,可以在临床治疗中实施。

Objective To study the influence of the use of ventilator on patients with acute respiratory distress syndrome. Methods Forty-six patients with acute respiratory distress syndrome admitted to our hospital from April 2008 to April 2012 were given the ventilator treatment and the patients’ recovery was recorded. Results After the treatment, the patients’ heart rate and blood pressure conditions obviously improved,the PaO2 and PaCO2 conditions significantly improved,the mean arterial blood pressure （SBP） decreased,the blood oxygen saturation （SaO2 ） obviously increased and the patients’ mortality was obviously lower than the general level,with statistically significant differences （ P ＆lt;0.05）. Conclusion The ventilator shows significant effects and can effectively reduce mortality in the treatment of patients with acute respiratory distress syndrome,thus can be implemented in clinical practice.