双水平正压通气在重症肺炎合并急性呼吸衰竭治疗评价

摘要

目的 评价双水平正压通气在救治重症肺炎合并急性呼吸衰竭的疗效.方法 分析43例重症肺炎合并急性呼吸衰竭患者临床资料,据治疗方式分为治疗组25例和对照组18例,观察两组患者治疗前后呼吸频率(RR)、心率(HR)、血气分析和临床症状、体征.结果 治疗组与对照组患者治疗前后呼吸频率(RR)、心率(HR)、PH值、动脉血氧分压(PaO2)比较差异有统计学意义(P<0.05).结论 双水平正压通气救治重症肺炎合并急性呼吸衰竭能减少气管插管,在抢救治疗中疗效肯定.%Objective To evaluate the efficacy of bi-level positive pressure ventilation in the treatment of severe pneumonia with acute respiratory failure. Methods The clinical data of 43 cases of severe pneumonia with acute respiratory failure were retrospectively analyzed. According to the treatment mode, 43 cases were divided into treatment group ( 25 cases ) and the control group in 18 cases. Respiratory rate, heart rate, blood-gasanalysis ( pll, PaO2 ), clinical symptoms and signs were observed before and after treatment between two groups. Result The results of the treatment group and the control group were compared after treatment in Respiratory rate ( RR ), heart rate ( 11R ), blood-gasanalysis ( Pll, PaO2 ), and we found statistically significant differences between the two groups of patients ( P <0.05 ). Conclusion Bi-level positive pressure ventilation for treatment of severe pneumonia with acute respiratory failure can reduce the use of tracher intubate. It is effective in rescuing the severe pneumonia with acute respiratory failure.