基于有创呼吸机的无创序贯通气治疗对重症肺炎合并呼吸衰竭患者动脉血气及炎症应激反应的影响

IF 1 4区 医学 Q3 EMERGENCY MEDICINE
Signa Vitae Pub Date : 2023-01-01 DOI:10.22514/sv.2023.105
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引用次数: 0

摘要

探讨以有创呼吸机为基础的无创序贯通气治疗对重症肺炎合并呼吸衰竭患者动脉血气及炎症应激反应的影响。采用随机数字表法将90例重症肺炎合并呼吸衰竭患者平均分为两组:常规治疗组(有创机械通气)和研究组(有创机械通气+无创序贯通气)。比较两组患者治疗前后机械通气时间、有创通气时间、重症监护病房(ICU)住院时间、血气分析指标、血清炎症因子水平等关键指标。我们还比较了两组的并发症。研究组机械通气时间、有创通气时间、ICU住院时间、住院时间均显著短于常规治疗组(p <0.05)。干预后实验组动脉氧饱和度(SaO2)、氧分压(PaO2)、pH值均显著高于常规治疗组(p <0.05)。干预后,两组患者白细胞(WBC)、血清c反应蛋白(CRP)、白细胞介素-6 (IL-6)均显著低于常规治疗组(p <0.05)。研究组并发症总发生率明显低于常规治疗组。基于有创呼吸机的无创序贯通气治疗对重症肺炎合并呼吸衰竭患者的治疗效果显著。该治疗有效缩短了平均治疗时间,改善了血气分析指标,减轻了炎症应激,从而减少了并发症的发生。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The effect of non-invasive sequential ventilation treatment based on the use of an invasive ventilator on the arterial blood gas and inflammatory stress reaction in patients with severe pneumonia with respiratory failure
To investigate the impact of non-invasive sequential ventilation treatment based on the use of an invasive ventilator on the arterial blood gas and inflammatory stress reaction in patients with severe pneumonia with respiratory failure. Ninety patients with severe pneumonia and respiratory failure were equally separated into two groups via a random number table: a conventional treatment group (subjected to invasive mechanical ventilation) and a study group (subjected to invasive mechanical ventilation and non-invasive sequential ventilation treatment). We compared the two groups with respect to several key parameters before and after treatment, including mechanical ventilation time, invasive ventilation time, intensive care unit (ICU) stay, hospital stay, blood gas analysis indicators and the levels of inflammatory factors in the serum. We also compared the two groups with regards to complications. Mechanical ventilation time, invasive ventilation time, ICU stay and hospital stay in the study group were significantly shorter than that in the conventional treatment group (p < 0.05). Arterial Oxygen Saturation (SaO2), Partial Pressure of Oxygen (PaO2) and pH in the study group after intervention were significantly higher than those in the conventional treatment group after intervention (p < 0.05). Following intervention, white blood cell (WBC), serum c-reactive protein (CRP) and serum interleukin-6 (IL-6) were significantly lower than those in the conventional treatment group (p < 0.05). The total incidence of complications in the study group was markedly lower than in the conventional treatment group. Non-invasive sequential ventilation therapy based on an invasive ventilator had a significant treatment impact on patients with severe pneumonia and respiratory failure. This treatment effectively reduced the average treatment time, improved blood gas analysis indicators and reduced inflammatory stress, thus reducing the incidence of complications.
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来源期刊
Signa Vitae
Signa Vitae 医学-急救医学
CiteScore
1.30
自引率
9.10%
发文量
0
审稿时长
3 months
期刊介绍: Signa Vitae is a completely open-access,peer-reviewed journal dedicate to deliver the leading edge research in anaesthesia, intensive care and emergency medicine to publics. The journal’s intention is to be practice-oriented, so we focus on the clinical practice and fundamental understanding of adult, pediatric and neonatal intensive care, as well as anesthesia and emergency medicine. Although Signa Vitae is primarily a clinical journal, we welcome submissions of basic science papers if the authors can demonstrate their clinical relevance. The Signa Vitae journal encourages scientists and academicians all around the world to share their original writings in the form of original research, review, mini-review, systematic review, short communication, case report, letter to the editor, commentary, rapid report, news and views, as well as meeting report. Full texts of all published articles, can be downloaded for free from our web site.
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