早期有创机械通气治疗胸外伤致ARDS临床分析

惠文静，常涛，霍尚表

（陕西省榆林市第三医院，陕西 榆林，719000）

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摘要：

目的 探讨早期有创机械通气在胸外伤致急性呼吸窘迫综合征（ARDS）患者中的临床治疗效果。方法 选取我院收治的胸外伤致ARDS患者90例为研究对象，随机分为试验组和对照组，每组45例。两组患者均行常规的基础治疗，试验组患者联合有创机械通气进行治疗，对照组患者联合无创正压通气治疗，比较两组患者的临床效果、治疗后呼吸频率（RR）、氧合指数（OI）、血气分析指标及心率（HR）。结果 治疗后，试验组患者的治疗总有效率为91.1%，明显高于对照组患者的77.8%，差 异均具有统计学意义（P<0.05）。治疗后，试验组患者的RR及HR明显低于对照组，OI及血气分析指标均高于对照组，差异具有统计学意义（P<0.05）。结论 胸外伤致ARDS患者采用早期有创机械通气治疗临床效果显著，可促进患者康复，提高患者生活质量，具有较高的应用价值。

关键词：早期有创机械通气；胸外伤；急性呼吸窘迫综合征

中图分类号：R655.3文献标志码：A文章编号：2096-1413(2017)12-0063-02

Clinical analysis of early invasive mechanical ventilation in the treatment of ARDS caused by thoracic trauma
HUI Wen-jing, CHANG Tao, HUO Shang-biao
(the Third Hospital of Yulin City, Yulin 719000, China)

ABSTRACT: Objective To investigate the clinical effect of early invasive mechanical ventilation in patients with acute respiratory distress syndrome (ARDS) caused by thoracic trauma. Methods Ninety cases of patients with ARDS caused by thoracic trauma were selected and randomly divided into experimental group and control group, with 45 cases in each group. All the patients received conventional treatment, and the experimental group combined with invasive mechanical ventilation, while the control group combined with non-invasive positive pressure ventilation. The clinical effect, respiratory rate (RR), oxygenation index (OI), blood gas analysis index and heart rate (HR) of the two groups were compared. Results After treatment, the total effective rate of the experimental group was 91.1%, which was higher than 77.8% of the control group (P<0.05). After treatment, the RR and HR of the observation group were lower than those of the control group, the OI and gas analysis indexes of the observation group were higher than those of the control group, the differences of the two groups were statistically significant (P<0.05). Conclusion The clinical effect of early invasive mechanical ventilation in patients has acute respiratory distress syndrome (ARDS) caused by thoracic trauma is significant, it can promote the rehabilitation and improve the quality of life of the patients, which has high application value.
KEYWORDS: early invasive mechanical ventilation; thoracic trauma; acute respiratory distress syndrome

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