呼吸阶梯性治疗方法应用于急诊危重患者的临床疗效观察

Thecurative effect of respiratory laddertherapeutic regimen in emergency severe patients

目的:探究呼吸阶梯性治疗方法应用于急诊危重患者的临床疗效。方法:选取2014年6月至2015年6月我院救治的急诊危重患者112例作为研究对象,按时间顺序分为对照组63例,呼吸支持采用传统呼吸治疗方式;研究组49例,呼吸支持采用呼吸阶梯性治疗方式。结果:2组患者均以复苏体位、面罩吸氧和呼吸机给氧3种方式选择的最多,研究组气管切开的方式明显少于对照组,而选择复苏体位的方式略多于对照组;研究组复苏成功率(83.67%)明显高于对照组(57.14%)(P<0.05);研究组呼吸稳定平均需要时间(42.79±6.82)min明显短于对照组(58.41±7.16)min(P<0.05);治疗后2组APACHEⅡ评分均比治疗前明显减少,差异具有统计学意义(P<0.05);研究组APACHEⅡ评分降低幅度明显低于对照组,差异具有统计学意义(P<0.05)。结论:采用呼吸阶梯性治疗方法可以提高患者复苏成功率,缩短患者呼吸稳定所需时间,值得临床推广。

[ Objective]To explore curative effect and prognosiscondition of respiratory ladder therapeutic regimen in emergency severe patients. [ Method] 112 cases of critically ill patients in emergency were selectedfrom June 2014 toJune 2015in our hospital. They were chronologically divided into control group 63 cases whose respiratory support respiratory therapy adopted traditional way and study group of 49 patients whose respiratory support adopted breathing ladder type. [Result]Two groups of patients mostly selected recovery position, oxygen masks and oxygen ventilator. Tracheotomy mode of the study groupwas significantly less than the control group, and the choice of recovery position was slightly more than the control group. The study group resuscitation success rate （83.67%） was significantly higher （57.14%）, （ P 〈 0.05）. Respiratory stable average time in study group（42.79 ± 6.82min） was significantly shorter than that of the control group （58.41 ± 7.16min）, （ P 〈0.05）. APACHE Ⅱ scorewas significantly reduced after treatment than beforein treatment groups and the difference was statistically significant （P 〈0.05）. In study group,APACHE Ⅱscore was significantly lower than the control group and the difference was statistically significant （ P 〈 0.05）. [ Conclusion ] Respiratory ladder therapeutic regimen can improve patients＇ recovery, shorten the time required for the patient stable. The effect is significant and the prognosis is good and worthy of promotion.