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目的:探讨肺开放/复张策略在ICU病房急性呼吸窘迫综合征患者的临床疗效,为提高此类患者临床疗效及生命安全提供可靠依据。方法:A组、B组、C组、D组患者分别采取控制性肺膨胀(SI)、高呼气末正压(PEEP)、叹息(sigh)法、俯卧位通气法实施肺复张治疗,观察并记录四组患者治疗后肺复张成功率,给予统计学分析,得出结论。结果:A组、B组、C组、D组急性呼吸窘迫综合征患者实施不同肺复张方法进行治疗后,肺复张成功率分别为86.67%、80.00%、86.67%、93.33%,四组患者对比结果无统计学意义(P>0.05)。结论:临床医师对ICU患者实施肺复张治疗时,应根据患者具体情况及现有医疗条件进行综合判断,从而选择更为合适的肺开放/复张策略方法,提高患者肺开放/复张成功率,保障患者治疗效果及生命安全。
Objective: To investigate the clinical efficacy of pulmonary open / recurrent strategy in patients with acute respiratory distress syndrome in ICU wards and provide a reliable basis for improving the clinical efficacy and life safety of these patients. Methods: Patients in group A, group B, group C and group D underwent pulmonary reexpansion with controlled inflation (SI), positive end expiratory pressure (PEEP), sigh method and prone position ventilation, respectively. Observe and record the success rate of pulmonary recurrent after treatment in the four groups of patients, give statistical analysis and draw conclusions. Results: The success rates of pulmonary reclamation were 86.67%, 80.00%, 86.67%, 93.33% respectively in A, B, C and D groups after treatment of different methods of lung recruitment. Four groups There was no significant difference between the two groups (P> 0.05). CONCLUSIONS: Clinicians should make a comprehensive judgment based on the specific conditions of patients and existing medical conditions in order to choose a more appropriate lung opening / recovery strategy and improve the success rate of lung opening / resuscitation in ICU patients Rate, to protect the patient’s treatment and life safety.