急危重症患者采用急诊呼吸阶梯性治疗的研究

Study on Emergency Respiratory Step Therapy in Patients with Critical Illness

目的:分析急诊呼吸阶梯性治疗应用于急危重症患者中的效果.方法:选取2022年10月—2023年10月固原市人民医院ICU收治的急危重症患者80例作为研究对象,以电脑随机分组法分为对照组和观察组,各40例.对照组给予传统呼吸支持治疗,观察组给予急诊呼吸阶梯性治疗.比较两组患者呼吸相关指标、动脉血气分析指标.结果:观察组复苏成功率高于对照组,气管插管率低于对照组,复苏时间、呼吸恢复平稳时间短于对照组,差异有统计学意义(P<0.05).治疗前,两组动脉血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))、血氧饱和度(SpO_(2))水平比较,差异无统计学意义(P>0.05);治疗后,两组PaO_(2)、SpO_(2)水平均高于治疗前,PaCO_(2)水平低于治疗前,且观察组优于对照组,差异有统计学意义(P<0.05).结论:急诊呼吸阶梯性治疗应用于急危重症患者中的效果较好,可提高复苏成功率,稳定患者呼吸状态及生命体征,降低气管插管率,改善动脉血气指标.

Objective:To analyze the effect of emergency respiratory step therapy applied to critically ill patients.Methods:A total of eighty critically ill patients admitted to the ICU of Guyuan People's Hospital from October 2022 to October 2023 were selected as the study objects,and were divided into control group and observation group by computer randomized method,with forty cases in each group.The control group was given traditional respiratory support treatment,and the observation group was given emergency respiratory step treatment.Respiratory related indexes and arterial blood gas analysis indexes were compared between the two groups.Results:The success rate of resuscitation in observation group was higher than that in control group,the rate of tracheal intubation was lower than that in control group,and the time of resuscitation and stable recovery of respiration was shorter than that in control group,the differences were statistically significant(P<0.05).Before treatment,there was no statistically significant difference in arterial oxygen pressure(PaO_(2)),arterial carbon dioxide pressure(PaCO_(2)),and blood oxygen saturation(SpO_(2))levels between the two groups(P>0.05);after treatment,the levels of PaO_(2) and SpO_(2) in both groups were higher than before treatment,and the level of PaCO_(2) was lower than before treatment,and the observation group was better than the control group,with statistical significance(P<0.05).Conclusion:The application of emergency respiratory step therapy in patients with acute and critical conditions is better,which can improve the success rate of resuscitation,stabilize the respiratory status and vital signs of patients,reduce the rate of tracheal intubation,and improve the arterial blood gas index.