坐位通气对有创机械通气的慢性阻塞性肺疾病预后影响研究

发布时间：2018-06-30 20:35

本文选题：坐位通气 + 慢性阻塞性肺病　；参考：《中国实用内科杂志》2015年S1期

【摘要】：目的探讨坐位有创机械通气,能否改善慢性阻塞性肺疾病(慢阻肺)患者的预后。方法将102例需有创机械通气的慢阻肺患者分为两组,采用不同体位,观察不同体位机械通气对患者脱机时间、呼吸机相关肺炎(VAP)的发生率、早发型VAP的发生率的影像。结果床边坐位组撤机平均时间为(6.76±1.89)d,传统组为(7.88±2.15)d,床边坐位组撤机时间明显优于传统组(P0.01)。另通过分析发现坐位组VAP共有8例(16.0%),传统组的VAP共发生18例(34.6%),坐位组VAP发生率明显减少(P0.05)。床边坐位组早发型VAP发生率为12.5%,传统组为66.7%,坐位组早发型VAP明显减少。结论坐位有创机械通气,能改善慢阻肺患者脱机时间,减少VAP的发生率,减少早发型VAP的发生率。
[Abstract]:Objective to investigate whether invasive mechanical ventilation in sitting position can improve the prognosis of patients with chronic obstructive pulmonary disease (COPD). Methods 102 patients with COPD who needed invasive mechanical ventilation were divided into two groups. The weaning time, the incidence of ventilator-associated pneumonia (VAP) and the incidence of early onset VAP were observed by different posture mechanical ventilation. Results the average time of weaning was (6.76 卤1.89) days in the bedside sitting group and (7.88 卤2.15) d in the traditional group. The weaning time of the bedside sitting group was significantly better than that of the traditional group (P0.01). In addition, there were 8 cases (16.0%) of VAP in sitting position group and 18 cases (34.6%) of VAP in traditional group. The incidence of VAP in sitting position group was significantly decreased (P0.05). The incidence of early type VAP was 12.5 in the bedside group, 66.7 in the traditional group, and decreased significantly in the sitting position group. Conclusion invasive mechanical ventilation in sitting position can improve the weaning time, reduce the incidence of VAP and reduce the incidence of early onset VAP in patients with COPD.
【作者单位】：天台县人民医院;恩泽医疗中心(集团);
【分类号】：R563.9

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