亚低温在老年急性呼吸窘迫综合征中的应用及对血流动力学的影响

发布时间：2018-08-05 19:19

【摘要】：目的探讨亚低温对老年急性呼吸窘迫综合征(ARDS)患者的临床疗效,同时观察亚低温对血流动力学的影响。方法将收入ICU诊断为ARDS的老年患者40例分为常规组和亚低温组各20例。常规组予常规治疗,亚低温组用低温治疗仪等措施将体温降至35℃并维持在该水平。比较两组患者在治疗前后的氧合指数、呼气末正压(PEEP)、平台压、通气时间、住ICU时间及亚低温组治疗前后血流动力学参数的变化。结果亚低温组治疗后氧合指数较常规组高,PEEP、平台压较常规组低,差异有统计学意义(P0.05)。亚低温组机械通气时间、住ICU时间较常规组短,差异有统计学意义(P0.05)。两组病死率比较差异无统计学意义(P0.05)。亚低温组治疗后平均动脉压(MAP)、每搏输出量(SV)、心输出量(CO)及外周血管阻力(SVR)与治疗前比较差异无统计学意义(P0.05)。结论亚低温治疗可改善老年ARDS患者的氧合,降低呼吸机支持力度,尽早脱机,减少ICU时间,对血流动力学无不良影响。
[Abstract]:Objective to investigate the clinical effect of mild hypothermia on elderly patients with acute respiratory distress syndrome (ARDS) and to observe the effect of mild hypothermia on hemodynamics. Methods 40 elderly patients diagnosed as ARDS by ICU were divided into routine group and mild hypothermia group. The normal group was treated with routine therapy, the mild hypothermia group was treated with hypothermia instrument, and the body temperature was reduced to 35 鈩，

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