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目的:探讨肺复张策略在急性呼吸窘迫综合征(ARDS)治疗中的应用效果。方法:将40例ARDS患者随机分为A组和B组各20例,A组采用保护性通气策略,B组采用肺复张策略,观察两组的疗效和并发症发生情况。结果:两组治疗3 d后PaO2/FiO2、SaO2及PaO2较治疗前有明显改善(P<0.05);B组与A组治疗3 d后PaO2/FiO2、SaO2及PaO2比较差异有统计学意义(P<0.05);B组机械通气时间I、CU住院时间少于A组(P<0.05)。结论:肺复张策略可改善ARDS患者的血氧饱和度,对血流动力学影响短暂,安全有效。
Objective: To investigate the effect of pulmonary recruitment strategy in the treatment of acute respiratory distress syndrome (ARDS). Methods: Forty patients with ARDS were randomly divided into group A and group B, with 20 cases in each group. Protective ventilation strategy was used in group A and lung recruitment was used in group B to observe the curative effect and complications. Results: PaO2 / FiO2, SaO2 and PaO2 were significantly improved after 3 days of treatment in both groups (P <0.05); PaO2 / FiO2, SaO2 and PaO2 in group B and group A were significantly different after 3 days P <0.05). The duration of mechanical ventilation I and CU hospitalization in group B was less than that in group A (P <0.05). Conclusion: The strategy of pulmonary reexpansion can improve the oxygen saturation of patients with ARDS, and has a short-term effect on hemodynamics and is safe and effective.