急性呼吸窘迫综合征ICU机械通气治疗的临床探究

Clinical Investigation of ICU Mechanical Ventilation in Acute Respiratory Distress Syndrome

目的:分析急性呼吸窘迫综合征ICU临床治疗效果。方法:选择从2017年5月~2019年4月于本院ICU治疗的急性呼吸窘迫综合征患者100例,分为a组与b组,其中a组50例为肺外源患者,b组50例为肺内源患者,2组患者均实施机械通气治疗及ICU临床治疗,观察a组与b组患者康复效率及预后情况等。结果:a组的ICU治疗时间(8.55±2.12)d、机械通气(6.68±2.11)d,b组的ICU治疗时间(12.44±2.32)d、机械通气(11.69±3.13)d,二者差异较大,具有统计学意义(P<0.05)。两周内a组患者的死亡率为10.00%,b组患者的死亡率为24.00%,前者明显少于后者,两组差异较大,具有统计学意义(P<0.05),三个月之后统计总死亡率3个月之后统计总死亡率,a组与b组对比并无显著不同,不具有统计学意义(P>0.05)。治疗前,a组的生存质量及b组的生存质量十分相近,P>0.05,治疗后,a组的生存质量为(77.68±8.78)分,b组的生存质量为(60.69±8.13)分,两组对比差异显著,P<0.05。结论:肺外源性急性呼吸窘迫综合征ICU机械通气治疗的预后相对较好,肺内源则存在起效慢、死亡率高、预后差等风险,应对患者展开综合性质量,确保临床疗效,提高患者生存质量。

Objective:Analyze the clinical treatment effect of acute respiratory distress syndrome ICU.Methods:100 patients with acute respiratory distress syndrome treated by ICU in our hospital from May 2017 to April 2019 were selected and divided into group a and group b,of which 50 patients in group a were exogenous lung patients and 50 in group b The patients were endogenous lung patients.Both groups of patients were treated with mechanical ventilation and ICU clinical treatment.The recovery efficiency and prognosis of patients in groups a and b were observed.Results:The ICU treatment time of group a(8.55±2.12)d,mechanical ventilation(6.68±2.11)d,and the ICU treatment time of group b(12.44±2.32)d,mechanical ventilation(11.69±3.13)d Large,with statistical significance(P<0.05).Within two weeks,the mortality rate of patients in group a was 10.00%,and the mortality rate of patients in group b was 24.00%.The former was significantly less than the latter.The difference between the two groups was large and statistically significant(P<0.05).Count the total mortality 3 months later,the total mortality was counted.There was no significant difference between group a and group b,and it was not statistically significant(P>0.05).Before treatment,the quality of life in group a and group b were very similar,P>0.05.After treatment,the quality of life in group a was(77.68±8.78)points,and the quality of life in group b was(60.69±8.13)points.The difference between the two groups was significant,P<0.05.Conclusion:Pulmonary exogenous acute respiratory distress syndrome ICU mechanical ventilation treatment has a relatively good prognosis.Pulmonary endogenous patients have risks of slow onset,high mortality,and poor prognosis.Comprehensive quality should be developed for patients to ensure clinical efficacy.Improve patient quality of life.