首页|有创呼吸机治疗对重症肺炎患者动态血气和炎症等参数的影响

有创呼吸机治疗对重症肺炎患者动态血气和炎症等参数的影响

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目的:探讨有创呼吸机治疗对重症肺炎(SP)患者动态血气、炎症等参数的影响.方法:80 例 2018 年 1 月至2022 年 12 月在福建省福清市医院就诊的SP患者.根据呼吸支持治疗方案的不同分为两组,每组40 例.在常规对症治疗基础上对照组接受无创呼吸机治疗,观察组接受有创呼吸机治疗.比较两组血气分析指标、炎症指标和并发症发生情况.结果:治疗前两组间C反应蛋白(CRP)和降钙素原(PCT)水平及乳酸、Δ二氧化碳分压[ΔPaCO2(|PaCO2-40.0|)]、动脉血氧分压(PaO2)、氧合指数均无显著性差异(P>0.05).治疗后两组的两个炎症指标均下降(P<0.001).观察组治疗后第 7 天的CRP、PCT、乳酸水平和治疗后第 3、7 天的ΔPaCO2 均低于对照组,治疗第 3、7 天的PaO2 和氧合指数均高于对照组;且并发症发生率更低(P<0.05).结论:SP患者应用有创呼吸机治疗,可动态化改善患者血气分析参数,减轻炎症反应,降低并发症发生率,改善预后效果,值得推荐.
Influence of invasive ventilator treatment on dynamic blood gas,inflammation and other parameters in patients with severe pneumonia
Objective:To explore the influence of invasive ventilator treatment on dynamic blood gas,inflammation and other parameters in patients with severe pneumonia(SP).Methods:A total of 80 patients with SP admitted to Fuqing Hospital of Fujian from January 2018 to December 2022 were retrospectively analyzed.Patients were divided into two groups according to different respiratory support treatment plans,with 40 cases in each group.On the basis of conventional symptomatic treatment,the control group received routine treatment,while the observation group received invasive ventilator treatment.Blood gas analysis indicators,inflammation indicators and incidence of complications between two groups were compared.Results:There were no significant differences in C-reactive protein(CRP)and procalcitonin(PCT)levels,lactic acid,Δpartial pressure of carbon dioxide[ΔPaCO2(|PaCO2-40.0|)],partial pressure of arterial oxygen(PaO2)and oxygenation index between two groups before treatment(P>0.05).After treatment,both inflammatory markers decreased in both groups(P<0.001).The levels of CRP,PCT,lactic acid and ΔPaCO2 at day 7 after treatment in the observation group were lower than those in the control group,and the PaO2 and oxygenation index at day 3 and 7 after treatment were higher than those in the control group.The complication rate was lower(P<0.05).Conclusions:Invasive ventilator treatment applied in patients with SP can dynamically improve blood gas analysis parameters,alleviate inflammatory reactions,reduce the incidence of complications,and improve prognosis.It is worthy of recommendation.

Severe pneumoniaInvasive ventilatorBlood gas analysisComplications

林钧、张小华、林群

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福建省福清市医院急诊科,福建 福清 350300

肺炎,重症 有创呼吸机 血气分析 并发症

2024

感染、炎症、修复
解放军总医院第一附属医院

感染、炎症、修复

影响因子:0.404
ISSN:1672-8521
年,卷(期):2024.25(4)