甲强龙联合无创正压通气治疗ARDS100例的临床研究（基础医学范文）.doc

甲强龙联合无创正压通气治疗ARDS100例的临床研究（基础医学范文） 文档信息 属性： F-00P7VK，doc格式，正文7238字。质优实惠，欢迎下载！ 适用： 作为文章写作的参考文献，解决如何写好实用应用文、正确编写文案格式、内容摘取等相关工作。 作者： 佚名 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 搞要 1 关键字：甲强龙；无创正压通气；ARDS；通气模式；呼吸机相关性肺炎 2 1 资料与方法 4 2 结果 5 3 讨论 6 [参考文献] 7 论文原创声明（模板） 10 论文致谢（模板） 11 正文 甲强龙联合无创正压通气治疗ARDS100例的临床研究（基础医学范文） 搞要 摘要：目的探?甲强龙联合无创正压通气治疗ARDS的临床疗效。方法研究对象为2014年1月～2016年1月于我院重症医学科住院治疗的ARDS患者100例，所有患者均行综合治疗，纠正水和电解质紊乱及酸碱失衡，糖皮质激素甲强龙80mg/次，2次/d，连用3～5d，同时行NIPPV治疗。采用美国伟康生产的BiPAPvision呼吸机，采用面罩进行人机连接。观察患者治疗后1h、24h、3d、7d的PaO2/FiO2、PaO2、PaCO2及RR等指标情况；观察患者的撤机成功率、呼吸机相关性肺炎、院内死亡情况。结果100例ARDS患者甲强龙联合无创正压通气治疗后，显效55例，有效42例，无效3例，总有效率达97%。住院天数（±）d，撤机成功率100%，发生呼吸机相关性肺炎2例（2%），院内死亡1例（1%），死于呼吸衰竭。治疗后1h、24h、3d、7d，100例ARDS患者的PaO2/FiO2、PaO2、PaCO2及RR均较治疗前明显改善，差异有统计学意义（P）。结论甲强龙联合无创正压通气治疗ARDS疗效确切、住院时间短、并发症少，可显著改善患者的通气功能，缓解患者的临床症状，值得推广和应用 关键字：甲强龙；无创正压通气；ARDS；通气模式；呼吸机相关性肺炎 [中图分类号] [文献标识码] B [文章编号] 1673-9701（2017）30-0071-03 [Abstract] Objective To explore the clinical efficacy of methylprednisolone combined with noninvasive positive pressure ventilation in the treatment of ARDS. Methods A total of 100 cases of ARDS treated in the Department of Intensive Care Unit in our hospital from January 2014 to January 2016 were selected as the study subjects. All patients underwent comprehensive treatment to correct water and electrolyte imbalance and acid-base imbalance， methylprednisolone 80 mgime， 2 times/d for 3-5 days， and NIPPV treatment. BiPAP vision ventilator produced in Wei Kang of the United States was used， and the mask was used for man-machine connection. The levels of PaO2/FiO2， PaO2， PaCO2 and RR at 1 h， 24 h， 3 d and 7 d after treatment， the success rate of weaning， ventilator-associated pneumonia and hospital deaths were observed. Results In 100 cases of ARDS patients after methylprednisolone combined with NPPV treatment， 55 cases were cured， 42 cases were effective， 3 cases were invalid， with the total effective rate of 97%. The length of hospital stay was（±） d. The success ra