有创无创序贯机械通气抢救重症呼吸衰竭老年患者的有效性与安全性分析

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Abstract Objective To explore the safety and efficacy of invasive and non-invasive sequential mechanical ventilation in the treatment of elderly patients with severe respiratory failure.Methods 64 elderly patients with severe respiratory failure treated in our hospital from December 2014 to March 2016 were selected as study object.Patients were divided into control group and observation group according to random number table method,and each group had 32 cases.The control group was given conventional mechanical ventilation and the observation group was given invasive and non-invasive sequential mechanical ventilation.The blood gas indexes,respiratory(RR)and heart rate(HR),therapeutic time and clinical effect between two groups were compared.Results The PaO2and SpO2in observation group were obviously higher than those in control group,while PaCO2,HR and RR were obviously lower than those in control group(P＜0.05).Total mechanical ventilation time,invasive ventilation time and hospital stay in observation group were shorter than those in control group,and the difference was significant(P＜0.05).Rate of successful weaning in observation group was higher than that of control group,and the rate of reintubation and ventilator associated pneumonia were lower than those of control group(P＜0.05).Conclusion Invasive and non-invasive sequential mechanical ventilation in the treatment of elderly patients with severe respiratory failure has a obvious effect,which with higher safety and is worth to be widely used in clinic.

Key words： Invasive and non-invasive sequential mechanical ventilation Rescue Severe respiratory failure Elderly patient

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LIU Jian-min. Safety and efficacy analysis of invasive and non-invasive sequential mechanical ventilation in the treatment of elderly patients with severe respiratory failure[J]. 中国当代医药, 2017, 24(10): 27-29.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I10/27

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