急危重症患者急诊抢救使用呼吸阶梯性治疗方法的疗效研究

Efficacy of Respiratory Ladder Therapy in Emergency Treatment of Acute and Critically Ill Patients

目的探讨急危重症患者急诊抢救使用呼吸阶梯性治疗方法的临床效果。方法选取2015年8月—2017年1月泸州市人民医院接受治疗的60例急危重症患者为研究对象,采用随机数字表法分为研究组和对照组,每组30例。对照组使用传统呼吸支持方法,研究组患者使用呼吸阶梯性治疗方法,对比两组患者临床疗效及平均复苏时间、呼吸评分、呼吸平稳时间。结果研究组患者治疗总有效率为93.33%(28/30)高于对照组的63.33%(19/30),差异有统计学意义(χ~2=6.285,P<0.05)。研究组患者平均复苏时间、呼吸评分、呼吸平稳时间均短于对照组,差异有统计学意义(P<0.05)。结论急危重症患者急诊抢救使用呼吸阶梯性治疗方法,不仅可以减少患者呼吸恢复平稳的时间,也能提升临床治疗效果,值得在临床上推广使用。

Objective To observe the clinical effect of respiratory ladder therapy in emergency treatment of acute and critically ill patients. Methods 60 cases of acute and critically ill patients in Luzhou People' s Hospital from August 2015 to January 2017 were selected, divided into study group( n = 30) and control group( n = 30) by random number table. The traditional methods of respiratory support was used in the treatment group,the respiratory ladder therapy was used in the study group. The clinical efficacy,average recovery time,respiratory score and respiratory stability time were compared between the two groups. Results The total effective rate of the study group was 93. 33%( 28/30), higher than that of the control group63. 33%( 19/30), the difference was statistically significant( χ~2= 6. 285, P < 0. 05). The average recovery time,respiratory score and respiratory stability time of the study group were shorter than those of the control group,the difference was statistically significant( P < 0. 05). Conclusion Emergency treatment of ecute and critically ill patients with respiratory ladder therapy,can not only reduce the patient' s respiratory recovery time,but also can improve the clinical treatment effect,it is worth popularizing in clinical practice.