同步间歇指令通气联合压力支持治疗慢性阻塞性肺疾病的疗效观察(1)
摘要：目的 观察同步间歇指令通气(SIMV)联合压力支持(PS)治疗慢性阻塞性肺疾病(COPD)的临床疗效。方法 80例COPD患者随机分为两组，对照组40例采用SIMV治疗，观察组40例采用SIMV+PS治疗。观察两组患者血气指标、呼吸参数变化，比较两组患者的总机械通气治疗时间、呼吸机撤除时间、呼吸机撤除成功率及住ICU治疗时间等临床指标。结果 两组患者治疗后血气指标、呼吸参数比较无显著差异性(P>0.05)；观察组机械通气治疗时间、呼吸机撤除时间及住ICU治疗时间较对照组明显缩短(P<0.05)，且呼吸机撤除成功率明显高于对照组(P<0.05)。结论 SIMV+PS模式治疗COPD患者可明显缩短呼吸机撤除时间、机械通气治疗时间，并显著性提高呼吸机撤除成功率。
关键词：同步间歇指令通气；压力支持；慢性阻塞性肺疾病
中图分类号：R563.9 文献标识码：A 文章编号：1006-1959(2017)21-0054-02
, http://www.100md.com
The Effect of Synchronized Intermittent Mandatory Ventilation Combined with Pressure Support in the Treatment of Chronic Obstructive Pulmonary Disease
CHEN Heng
(Department of Intensive Medicine，Wusheng County People's Hospital，Wusheng 638400，Sichuan，China)
Abstract：Objective To observe the effect of synchronized intermittent mandatory ventilation(SIMV)combined with pressure support(PS)for the treatment of chronic obstructive pulmonary disease(COPD)patients.Methods 80 cases of COPD patients were randomly divided into two groups，the control group(n=40 cases)treated by SIMV，the observation group(n=40 cases)by SIMV+PS treatment.Two groups were observed in patients with blood gas index，respiratory parameters change，compared two groups of patients with total mechanical ventilation time，ventilator withdrawal time，ventilator removal success rate and ICU treatment time and other clinical indicators.Results Two groups of patients after treatment，blood gas index，respiratory parameters showed no significant difference(P>0.05)；The observation group the mechanical ventilation time，removal of ventilator and length of stay in ICU treatment time significantly shorter than the control group(P<0.05)，and the removal of ventilator success rate was significantly higher than the control group(P<0.05).Conclusion SIMV+PS treatment of COPD patients can significantly shorten the time of removal of ventilator，mechanical ventilation time，and significantly increased the success rate of removal of ventilator.
, 百拇医药
Key words：Synchronized intermittent mandatory ventilation；Pressure support；Chronic obstructive pulmonary disease
慢性阻塞性肺疾病(COPD)是一種常见于我国中老年人群的慢性呼吸性疾病，具有病情危重，死亡率较高等临床特点。临床治疗方面主要选择机械通气作为主要的措施，可有效避免肺组织及生理学功能遭到严重的损伤，在治疗期间还需提供足够的氧气[1]。同步间歇指令通气(SIMV)是指呼吸机根据预先设置的呼吸参数对患者实施指令性呼吸，可获得较为显著的治疗效果，但治疗期间可明显加重患者呼吸肌的疲劳程度，此外呼吸机撤除较为困难[2]。因此本研究观察SIMV联合压力支持(PS)治疗COPD患者的临床疗效，同时与单独应用SIMV治疗进行比较。
1 资料与方法
1.1一般资料
选择2013年8月～2016年8月在本院重症医学科住院进行治疗的80例COPD患者作为研究对象，均已确诊[3]。根据入院先后顺序将所有COPD患者随机分为对照组和观察组各40例。对照组中男25例，女15例，平均年龄(62.7±8.2)岁，病程8～14年；观察组中男23例，女17例，平均年龄(62.5±9.0)岁，病程9～15年。两组患者在各方面比较无显著差异性(P>0.05)。, 百拇医药(陈恒)
关键词：同步间歇指令通气；压力支持；慢性阻塞性肺疾病
中图分类号：R563.9 文献标识码：A 文章编号：1006-1959(2017)21-0054-02
, http://www.100md.com
The Effect of Synchronized Intermittent Mandatory Ventilation Combined with Pressure Support in the Treatment of Chronic Obstructive Pulmonary Disease
CHEN Heng
(Department of Intensive Medicine，Wusheng County People's Hospital，Wusheng 638400，Sichuan，China)
Abstract：Objective To observe the effect of synchronized intermittent mandatory ventilation(SIMV)combined with pressure support(PS)for the treatment of chronic obstructive pulmonary disease(COPD)patients.Methods 80 cases of COPD patients were randomly divided into two groups，the control group(n=40 cases)treated by SIMV，the observation group(n=40 cases)by SIMV+PS treatment.Two groups were observed in patients with blood gas index，respiratory parameters change，compared two groups of patients with total mechanical ventilation time，ventilator withdrawal time，ventilator removal success rate and ICU treatment time and other clinical indicators.Results Two groups of patients after treatment，blood gas index，respiratory parameters showed no significant difference(P>0.05)；The observation group the mechanical ventilation time，removal of ventilator and length of stay in ICU treatment time significantly shorter than the control group(P<0.05)，and the removal of ventilator success rate was significantly higher than the control group(P<0.05).Conclusion SIMV+PS treatment of COPD patients can significantly shorten the time of removal of ventilator，mechanical ventilation time，and significantly increased the success rate of removal of ventilator.
, 百拇医药
Key words：Synchronized intermittent mandatory ventilation；Pressure support；Chronic obstructive pulmonary disease
慢性阻塞性肺疾病(COPD)是一種常见于我国中老年人群的慢性呼吸性疾病，具有病情危重，死亡率较高等临床特点。临床治疗方面主要选择机械通气作为主要的措施，可有效避免肺组织及生理学功能遭到严重的损伤，在治疗期间还需提供足够的氧气[1]。同步间歇指令通气(SIMV)是指呼吸机根据预先设置的呼吸参数对患者实施指令性呼吸，可获得较为显著的治疗效果，但治疗期间可明显加重患者呼吸肌的疲劳程度，此外呼吸机撤除较为困难[2]。因此本研究观察SIMV联合压力支持(PS)治疗COPD患者的临床疗效，同时与单独应用SIMV治疗进行比较。
1 资料与方法
1.1一般资料
选择2013年8月～2016年8月在本院重症医学科住院进行治疗的80例COPD患者作为研究对象，均已确诊[3]。根据入院先后顺序将所有COPD患者随机分为对照组和观察组各40例。对照组中男25例，女15例，平均年龄(62.7±8.2)岁，病程8～14年；观察组中男23例，女17例，平均年龄(62.5±9.0)岁，病程9～15年。两组患者在各方面比较无显著差异性(P>0.05)。, 百拇医药(陈恒)
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