有创与无创序贯机械通气治疗急性心源性肺水肿的疗效观察

摘要

目的 探讨有创与无创序贯机械通气在治疗急性重症心源性肺水肿中的应用价值.方法 将68例急性肺水肿患者随机分为观察组和对照组,对照组在常规治疗基础上采用有创机械通气治疗.治疗组在常规治疗基础上采用有创与无创序贯机械通气治疗.比较2组治疗前后各参数的差异.结果 给予治疗组有创与无创序贯通气治疗后,死亡比例、发生VAP比例、重新插管比例、有创通气时间均少于对照组(均P＜0.05)；治疗组血流动力学和氧动力学各项指标均优于对照组,2组差异均有统计学意义(P＜0.05).结论 有创与无创序贯机械通气治疗急性心源性肺水肿患者疗效确切.%Objective To investigate the efficacy of invasive-noninvasive sequential mechanical ventilation in treatment of acute cardiogenic pulmonary edema.Methods Sixty-eight patients with acute pulmonary edema patients were randomly divided into observation group and control group.The control group received invasive mechanical ventilation based on the conventional treatment,and the treatment group received invasive-noninvasive sequential mechanical ventilation based on the conventional treatment.The parameters were compared before and after the treatment.Results Death rate,VAP,re-intubation and invasive ventilation time of the treatment group were less than the control group (P ＜ 0.05).Hemodynamic science and oxygen dynamics indicators of the treatment group were better than the control group,the difference being statistically significant (P ＜ 0.05).Conclusion Invasive-noninvasive sequential mechanical ventilation has better effect in the treatment of acute cardiogenic pulmonary edema.