呼吸阶梯性治疗在急危重症患者急症抢救中的临床效果观察

Observation on clinical effects of stepwise respiratory support in emergency rescue of critically ill patients

目的分析急危重症患者急症抢救时采取呼吸阶梯性治疗的临床效果。方法60例急危重症患者,按照奇偶法分为对照组和观察组,每组30例。对照组患者接受常规呼吸支持,观察组患者接受呼吸阶梯性治疗。比较两组患者呼吸恢复平稳时间、呼吸评分、复苏时间及治疗效果。结果观察组患者的呼吸恢复平稳时间、呼吸评分、复苏时间分别为(3.31±0.29)h、(4.56±0.37)分、(2.08±0.13)h,对照组分别为(5.37±0.43)h、(2.09±0.15)分、(4.24±0.16)h,观察组的呼吸恢复平稳时间、复苏时间均短于对照组,呼吸评分高于对照组,差异具有统计学意义(P<0.05)。观察组患者中12例治疗显效,16例治疗有效,2例治疗无效,治疗总有效率为93.33%;对照组患者中9例治疗显效,12例治疗有效,9例治疗无效,治疗总有效率为70.00%;观察组治疗总有效率高于对照组,差异具有统计学意义(P<0.05)。结论急危重症患者接受急症抢救时采取呼吸阶梯性治疗能够缩短呼吸恢复平稳时间及复苏时间,改善治疗效果。

Objective To analyze the clinical effects of stepwise respiratory support in emergency rescue of critically ill patients.Methods A total of 60 critically ill patients were divided into control group and observation group according to the odd-even method,with 30 cases in each group.Patients in the control group received conventional respiratory support,and patients in the observation group received stepwise respiratory support.The respiratory recovery time,respiratory score,resuscitation time and therapeutic effect were compared between the two groups.Results The respiratory recovery time,respiratory score and resuscitation time were(3.31±0.29)h,(4.56±0.37)min and(2.08±0.13)h in the observation group,and(5.37±0.43)h,(2.09±0.15)min and(4.24±0.16)h in the control group.The respiratory recovery time and resuscitation time of the observation group were shorter than those of the control group,and the respiratory score was higher than that of the control group,and the differences were statistically significant(P<0.05).In the observation group,12 cases had significant effect,16 cases had effective treatment and 2 cases had ineffective treatment,and the total effective rate was 93.33%;in the control group,9 patients had significant effect,12 patients had effective treatment,9 patients had ineffective treatment,and the total effective rate of treatment was 70.00%.The total effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Stepwise respiratory support can shorten the respiratory recovery time and resuscitation time of critically ill patients,and improve the therapeutic effect of patients.