ICU重症肺炎伴呼吸衰竭患者行不同通气治疗对其血气指标数据的影响

Effect of Different Ventilation Treatments on Blood Gas Index Data of Patients with Severe Pneumonia with Respiratory Failure in ICU

目的 分析不同通气方式的实施对ICU重症肺炎伴呼吸衰竭患者血气指标数据的影响及治疗作用。方法选择2019年7月—2020年6月莒县人民医院莒县人民医院就诊于ICU并确诊为重症肺炎伴呼吸衰竭患者100例,以抽签方式分为两组,每组50例。常规组采取有创机械通气,研究组实施序贯通气。比较两组血气指标、炎症因子指标、治疗相关指标及不良反应发生率。结果 治疗后,研究组酸碱度、血氧分压、二氧化碳分压血气指标均优于常规组,差异有统计学意义(t=2.820、20.325、29.906,P<0.05);研究组治疗后炎症因子指标均低于常规组,差异有统计学意义(t=7.667、9.084、28.521,P<0.05);研究组症状缓解时间、通气时长、住院时间均优于常规组,差异有统计学意义(t=7.172、15.104、8.293,P<0.05);研究组不良反应发生率(10.00%)低于常规组(30.00%),差异有统计学意义(χ^(2)=6.250,P<0.05)。结论 ICU重症肺炎伴呼吸衰竭治疗中,以序贯通气方式可见显著疗效,有助于患者疾病康复,维持其诊疗期间机体功能、生理机能稳定,效果极佳。

Objective To analyze the influence of different ventilation methods on the blood gas index data of patients with severe pneumonia with respiratory failure in ICU and their therapeutic effects. Methods 100 patients with confirmed severe pneumonia with respiratory failure who were seen in the ICU from July 2019 to June 2020 in Juxian People’s Hospital were selected and divided into two groups by lottery, with 50 cases in each group. Invasive mechanical ventilation was adopted in the conventional group, and sequential ventilation was implemented in the study group.The blood gas index, inflammatory factor index, treatment related indicatorsand incidence of adverse reactions were compared between the two groups. Results After treatment, the blood gas indexes of the acid-base, partial pressure of oxygen and partial pressure of carbon dioxide in the study group were better than those in the conventional group, and the differences were statistically significant(t=2.820, 20.325, 29.906, P<0.05). All inflammatory factor indexes in the study group were lower than those in the conventional group after treatment, and the differences were statistically significant(t=7.667, 9.084, 28.521, P<0.05). The time to symptom relief, length of ventilation, and length of hospital stay in the study group were better than those in the conventional group, and the differences were statistically significant(t=7.172, 15.104, 8.293, P<0.05). The incidence of adverse reactions in the study group(10.00%) was lower than that in the conventional group(30.00%), and the differences were statistically significant(χ^(2)=6.250, P<0.05). Conclusion In the treatment of severe pneumonia with respiratory failure in the ICU, sequential ventilation is seen to have significant efficacy, which helps patients recover from the disease and maintains the stability of their body functions and physiological functions during treatment, with excellent results.