EVLW在老年重症肺炎呼吸衰竭应用机械通气的临床价值

Clinical Value of EVLW in Elderly Patients with Severe Pneumonia and Respiratory Failure by Mechanical Ventilation

将老年重症肺炎呼吸衰竭需机械通气患者随机分为两组:对照组在常规治疗的基础上根据肺部影像学资料及CVP进行容量管理;实验组在常规治疗的基础上根据ELVW的量进行容量管理。结果实验组治疗前APACHE评分为19.27±4.16,治疗后11.02±1.0。经统计分析,两组患者治疗后的机械通气时间、住ICU时间、总住院时间、28天病死率治疗前后APACHE评分和误吸、便秘、腹胀和心衰的差异具有统计学意义,P<0.05。

Elderly patients with severe pneumonia and respiratory failure requiring mechanical ventilation were randomly divided into two groups. On the basis of conventional therapy, the control group was made capacity management according to the data of lung imaging and CAP, while the experimental group were managed according tothe amount of ELVW on the based of conventional therapy. Results of 50 patients in experimental groupshowed, before treatment APACHE score was 19.27 ±4.16, andl 1.02 ±1.05 after therapy. Statistical analysisrevealed that, after treatment,mechanical ventilation time, hospitalization time, ICU stay time, 28 day mortality rate,and before and after treatment, APACHE score, aspiration, constipation, abdominal distension and heart failure ofthe two groups of patients werestatistically significant, P 〈 0.05.