有创-无创序贯性机械通气在中枢性呼吸衰竭中的临床应用

目的:研究有创-无创序贯性机械通气在中枢性呼吸衰竭的临床应用。方法:选取2014年1月-2016年1月在本院接受治疗的150例中枢性呼吸衰竭患者,将其分为保留气切导管有创-无创序贯性机械通气的研究组、采取临床上常规的有创-无创序贯性机械通气的对照组,比较两组患者的机械通气时间、呼吸机相关性肺炎发生率、并发症(比如切口感染、气管狭窄等)以及ICU住院时间等指标。结果:研究组患者住院的平均时间、有创机械通气时间明显少于对照组患者(P<0.05);研究组患者呼吸机相关性肺炎发生率、并发症(比如切口感染、气管狭窄等)的发生率显著低于对照组患者的呼吸机相关性肺炎发生率、并发症(比如切口感染、气管狭窄等)的发生率(P<0.05)。结论:在临床上,对患者采用保留气切导管有创-无创序贯性机械通气的治疗方法可以提高患者的治疗效果,降低一些并发症的发生率,值得在临床上广泛推广。

objective: to study the clinical application of invasive and non-invasive sequential mechanical ventilation in central respiratory failure. Selection methods in January 2014-January 2016 in our hospital treated 150 cases of central respiratory failure patients, it can be divided into the gas cut catheter reservation-noninvasive sequential mechanical ventilation of the team, to conventional invasive-noninvasive clinical sequential mechanical ventilation of the control group, compared two groups of patients with mechanical ventilation time and complication incidence of ventilator associated pneumonia,(such as wound infection, tracheal stenosis, etc.) and ICU length of hospital stay and other indicators. Results:the time of hospitalization of the patients in the study group was significantly less than that in the control group(P < 0.05).