首页|奥司他韦结合机械通气治疗呼吸道病毒感染合并呼吸衰竭的效果及对血气分析指标的影响

奥司他韦结合机械通气治疗呼吸道病毒感染合并呼吸衰竭的效果及对血气分析指标的影响

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目的 探讨奥司他韦结合机械通气治疗呼吸道病毒感染合并呼吸衰竭的效果及对血气分析指标的影响。方法 选择2020 年 1 月至 2022 年 6月就诊的 82 例呼吸道病毒感染合并呼吸衰竭患者作为研究对象,采用随机数字表法将其分为A组和B组,每组41 例。A组采用利巴韦林结合机械通气治疗,B组采用奥司他韦结合机械通气治疗。比较两组的临床疗效、症状消失时间、血气分析指标及不良反应发生情况。结果 B组的治疗总有效率高于A组,差异具有统计学意义(P<0。05)。B组的发热、疲劳、干湿性啰音及咽痛消失时间短于A组,差异具有统计学意义(P<0。05);两组的呼吸困难消失时间比较,差异无统计学意义(P>0。05)。治疗后,两组的动脉血氧分压(PaO2)均升高,动脉血二氧化碳分压(PaCO2)均降低,且B组优于A组,差异具有统计学意义(P<0。05)。B组的不良反应总发生率低于A组,差异具有统计学意义(P<0。05)。结论 奥司他韦结合机械通气治疗呼吸道病毒感染合并呼吸衰竭可显著提高临床疗效,缩短患者症状消失时间,改善其血气分析指标,减少不良反应,值得在临床应用及推广。
Effect of oseltamivir combined with mechanical ventilation in the treatment of respiratory virus infection and respiratory failure and its influences on blood gas analysis indexes
Objective To explore the effect of oseltamivir combined with mechanical ventilation on respiratory virus infection and respiratory failure and its influences on blood gas analysis indexes.Methods A total of 82 patients with respiratory virus infection and respiratory failure who were treated from January 2020 to June 2022 were selected as the study objects.The patients were divided into group A and group B by random number table method,with 41 cases in each group.The group A was treated with ribavirin combined with mechanical ventilation,and the group B was treated with oseltamivir combined with mechanical ventilation.The clinical efficacy,symptom disappearance time,blood gas analysis indexes and adverse reactions were compared between the two groups.Results The total effective rate of treatment in the group B was higher than that in the group A,and the difference was statistically significant(P<0.05).The disappearance time of fever,fatigue,dry and wet rales and sore throat in the group B were shorter than those in the group A,and the differences were statistically significant(P<0.05);there was no significant difference in the disappearance time of dyspnea between the two groups(P>0.05).After treatment,the arterial partial pressure of oxygen(PaO2)in both groups increased,and the arterial partial pressure of carbon dioxide(PaCO2)decreased,and those in the group B were better than the group A,the differences were statistically significant(P<0.05).The total incidence of adverse reactions in the group B was lower than that in the group A,and the difference was statistically significant(P<0.05).Conclusion The oseltamivir combined with mechanical ventilation in the treatment of respiratory virus infection and respiratory failure can significantly enhance the clinical efficacy,shorten the time of symptom disappearance,improve the blood gas analysis indexes and reduce the adverse reactions.It is worthy of application and promotion in clinical practice.

respiratory virus infectionrespiratory failureoseltamivirribavirinmechanical ventilationblood gas analysis

帖怡凡、张春峰、王鹏、刘露露、王浩龙、柳树林、宁娜、徐金枝

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宝鸡市中心医院呼吸与危重症医学科,陕西 宝鸡,721000

宝鸡高新医院呼吸与危重症医学科,陕西 宝鸡,721000

呼吸道病毒感染 呼吸衰竭 奥司他韦 利巴韦林 机械通气 血气分析

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(29)