摘要
目的探讨急危重症患者急诊抢救使用呼吸阶梯性治疗方法的临床疗效。方法使用随机划分方式将68例于2018年6月—2019年5月期间在该院接受急诊抢救治疗的急危重症患者分成两组,即对照组和观察组,各34例,前者采用传统的呼吸支持方法,后者采用呼吸阶梯性治疗方法进行治疗,对比两组治疗的临床效果。结果观察组有效率为94.12%,对照组有效率为79.41%,差异有统计学意义(χ^(2)=9.324,P<0.05)。观察组患者平均复苏时间(2.11±0.21)h、呼吸平稳时间(3.74±0.45)h明显短于对照组(4.32±0.13)、(5.75±0.31)h,呼吸评分(2.42±0.13)分明显低于对照组(4.55±0.16)分,差异有统计学意义(t=52.176、21.448、60.245 P<0.05)。观察组PaO2(90.32±8.44)mmHg、PaCO2(38.43±5.44)mmHg、SpO2(98.47±2.13)%优于对照组(78.34±8.23)mmHg、(50.47±5.41)mmHg、(90.74±2.14)%,差异有统计学意义(t=5.926、9.151、14.928,P<0.05)。结论在对急危重症患者急诊抢救时,采用呼吸阶梯性治疗方法进行治疗,效果显著。
Objective To explore the clinical efficacy of respiratory step therapy in emergency rescue for patients with acute and critical illness.Methods A randomized method was used to divide 68 critically ill patients who received emergency rescue treatment in the hospital from June 2018 to May 2019 into two groups,namely the control group and the observation group,each with 34 cases,the former adopted traditional respiratory treatment method;the latter adopted a step-wise respiratory treatment method,and compared the clinical effects of the two groups.Results The effective rate of the observation group was 94.12%,and the effective rate of the control group was 79.41%,the difference was statistically significant(χ^(2)=9.324,P<0.05).The average resuscitation time of patients in the observation group was(2.11±0.21)h,and the time for steady breathing(3.74±0.45)h was significantly shorter than that of the control group(4.32±0.13)h,(5.75±0.31)h,and the respiratory score was(2.42±0.13)points,lower than the control group(4.55±0.16)points,the difference was statistically significant(t=52.176,21.448,60.245,P<0.05).The observation group PaO2(90.32±8.44)mmHg,PaCO2(38.43±5.44)mmHg,SpO2(98.47±2.13)%,better than the control group(78.34±8.23)mmHg,(50.47±5.41)mmHg,(90.74±2.14)%,the difference was statistically significant(t=5.926,9.151,14.928,P<0.05).Conclusion In the emergency rescue of critically ill patients,the use of respiratory ladder therapy for treatment has significant effects.
作者
郭平
李军
汪勇
GUO Ping;LI Jun;WANG Yong(Emergency Department,the First People's Hospital of Zhaotong City,Zhaotong,Yunnan Province,657000 China)
出处
《世界复合医学》
2021年第1期83-85,共3页
World Journal of Complex Medicine
关键词
急危重症患者
急诊抢救
呼吸阶梯性治疗方法
疗效
Critically ill patients
Emergency rescue
Respiratory step therapy
Curative effect
