急诊呼吸机阶段性治疗急危重症的效果分析

Analysis of the Effect of Emergency Ventilator in the Stage Treatment of Acute and Critical Illness

目的探讨急诊呼吸机阶段性治疗急危重症的效果。方法方便选取2018年1月—2019年12月在该院急诊治疗的200例急危重症患者按不同呼吸机治疗方法分为两组,即对照组和观察组,每组100例。对照组使用传统呼吸机支持治疗,观察组使用呼吸机阶段性治疗,对比两组的疗效、复苏成功率及达到呼吸稳定所需时间、治疗前后呼吸及心率变化。结果观察组治疗有效率为92.00%,明显高于对照组的76.00%,两组比较差异有统计学意义(χ^2=9.524,P<0.05);观察组复苏成功率73.00%明显高于对照组60.00%,两组比较差异有统计学意义(χ^2=3.793,P<0.05);达到呼吸稳定所需时间(44.35±5.79)min明显短于对照组(56.12±6.37)min,两组比较差异有统计学意义(t=10.126,P<0.05);两组患者治疗前呼吸及心率比较差异无统计学意义(P>0.05),观察组治疗后呼吸及心率分别为(18.9±2.2)次/min、(67.8±2.4)次/min均明显高于对照组,两组比较差异有统计学意义(t=6.432、10.628,P<0.05)。结论急诊呼吸机阶段性治疗急危重症的效果显著,能提升救治效果,提高早期复苏成功率,缩短呼吸恢复时间,为后续的治疗创造了有利条件。

Objective To explore the effect of emergency ventilator in the phase treatment of acut e and critical illness.Methods Convenient selection of 200 critically ill patients treated in the emergency department of the hospital from January2018 to December 2019 were divided into two groups according to different respiratory treatment methods, namely the control group and the observation group, each with 100 cases. The control group was treated with traditional ventilator support, and the observation group was treated with ventilator in stages. The curative effect, success rate of resuscitation and the time required to reach stable breathing, changes in respiration and heart rate before and after treatment were compared between the two groups. Results The effective rate of treatment in the observation group was 92.00%, which was significantly higher than 76.00% in the control group. The difference between the two groups was statistically significant(χ^2=9.524, P <0.05);the recovery success rate of the observation group was 73.00% significantly higher than the control group 60.00%, the difference between the two groups was statistically significant(χ^2=3.793, P<0.05);The time required to reach stable breathing(44.35 ±5.79) min was significantly shorter than that of the control group(56.12 ±6.37) min, the difference between the two groups was statistically significant(t =10.126, P <0.05);there was no statistically significant difference in respiration and heart rate between the two groups before treatment(P>0.05). The respiration and heart rate of the observation group after treatment were(18.9±2.2)times/min and(67.8±2.4) times/min were significantly higher than those of the control group, and the difference between the two groups was statistically significant(t =6.432, 10.628, P <0.05).Conclusion The emergency ventilator has a significant effect in the staged treatment of acute and critical illness, which can improve the treatment effect, increase the success rate of early resuscitation, shorten the breathing recovery time, and create favorable conditions for subsequent treatment.