间质性肺疾病并呼吸衰竭的影响因素及机械通气治疗价值

The Influence Factors of Interstitial Lung Disease Complicated with Respiratory Failure and the Value of Mechanical Ventilation

目的 析间质性肺疾病合并呼吸衰竭的影响因素,对机械通气治疗的价值进行探讨。方法 选取我院2012年1月-2013年1月收治的50例间质性肺疾病合并呼吸衰竭患者来进行研究分析,按照治疗方法将所有患者分为两组,32例接受无创通气治疗的患者为无创通气组,18例接受有创通气治疗的患者为有创通气组。结果 有创通气组的死亡率是88.9%,无创通气组的死亡率是43.8%,差异有统计学意义（P〈0.05）。无创通气组平均住院时间（8.0±1.2）d,有创通气组组平均住院时间（21.2±1.2）d,两组有统计学意义（P〈0.05）。结论 间质性肺疾病合并呼吸衰竭患者的发病可以选择机械通气治疗,可使患者的生存质量有效改善,针对患者的发病原因积极治疗,才能够获得较好的效果。

Objective To study the influence factors on the patients with interstitial lung disease complicated with respiratory failure, and to analyze the value of mechanical ventilation treatment. Methods 50 cases of interstitial lung disease complicated with respiratory failure were selected from January 2012 to January 2013 in our hospital, all the patients were divided into two groups according to different treatment methods,32 cases were given non-invasive ventilation therapy and considered as the noninvasive ventilation group,18 cases were given invasive ventilation and considered as the invasive ventilation group. Results The mortality rate of the invasive ventilation group was 88.9%, The mortality rate of the noninvasive ventilation group was 43.8%, there was significant difference（P〈0.05）. The average hospitalization time of the noninvasive ventilation group was（8.0±1.2） d, the average hospitalization time of the invasive ventilation group was（21.2±1.2） d, there was significant difference（P〈0.05）. Conclusion The incidence of interstitial lung disease combined with respiratory failure patients can select mechanical ventilation in the treatment, the patient＇s quality of life can be improved, to look for the cause of disease in patients and give active treatment can obtain better effect.