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目的:观察无创正压通气治疗急性肺损伤的临床效果。方法:从2014年3月-2015年6月本院收治的急性肺损伤患者中随机抽取50例。将患者随机分为对照组24例、观察组26例。对照组患者接受大型多功能呼吸机有创正压通气治疗,观察组接受无创通气治疗。对比两组患者通气前、后氧合指数、心率、呼吸频率等指标。结果:接受治疗后,1~2 h、24 h后的氧合指数、心率、呼吸频率等指标均得到了完善,但观察组患者的各项指标完善情况优于对照组,差异具有统计学意义(P<0.05);对照组、观察组患者的治疗总有效率分别为83.3%、92.3%,差异具有统计学意义(P<0.05)。结论:无创正压通气对急性肺损伤患者的治疗具有一定价值。
Objective: To observe the clinical effect of non-invasive positive pressure ventilation in the treatment of acute lung injury. Methods: From March 2014 to June 2015, 50 patients were randomly selected from patients with acute lung injury admitted to our hospital. The patients were randomly divided into control group 24 cases, observation group 26 cases. Patients in the control group received invasive positive pressure ventilation of a large multi-functional ventilator and non-invasive ventilation in the observation group. The two groups of patients before and after ventilation oxygen index, heart rate, respiratory rate and other indicators. Results: The index of oxygenation index, heart rate and respiratory rate were all improved after 1 ~ 2 h and 24 h after treatment, but the improvement of each index in observation group was better than that of control group, the difference was statistically significant (P <0.05). The total effective rates of the control group and the observation group were 83.3% and 92.3% respectively, the difference was statistically significant (P <0.05). Conclusion: Noninvasive positive pressure ventilation has certain value in the treatment of patients with acute lung injury.