Analysis of the clinical efficacy of invasive and non-invasive sequential mechanical ventilation in the treatment of severe respiratory failure
有创与无创序贯机械通气治疗重症呼吸衰竭的临床疗效探析

摘要

目的 探讨在重症呼吸衰竭患者治疗中提供有创-无创序贯机械通气疗法施治的价值。方法 试验对象选择于2020.02-2022.02期间，在我院接受治疗干预的重症呼吸衰竭患者70例，以随机数字表法分作2组，在治疗中分别提供传统有创机械通气与有创-无创序贯机械通气疗法施治，统计组间施治疗效、血气分析指标与治疗指标差异性。结果 观察组治疗总有效率比对照组高，P＜0.05；观察组血气分析指标优于对照组，P＜0.05；观察组机械通气总时间、ICU入住时间、有创通气时间及住院时间低于对照组，P＜0.05。结论 通过以有创-无创序贯机械通气疗法展开治疗，可有效缩短患者治疗时间，改善血气分析指标的同时，还能进一步提升临床疗效，适宜推广借鉴。

Abstract

Objective: To explore the value of providing invasive-non-invasive sequential mechanical ventilation in the treatment of patients with severe respiratory failure.
Methods The test subjects were selected from 2020.02-2022.02, 70 patients with severe respiratory failure who received treatment and intervention in our hospital, were divided into two groups by random number table method, and were provided with traditional invasive mechanical ventilation and invasive-non-invasive sequence in the treatment. Through mechanical ventilation therapy, the differences of therapeutic effect, blood gas analysis indexes and treatment indexes between groups were counted.
Results The total effective rate of treatment in the observation group was higher than that in the control group, P<0.05; the blood gas analysis indexes in the observation group were better than those in the control group, P<0.05; the total time of mechanical ventilation, ICU stay, invasive ventilation and hospital stay in the observation group were lower than Control group, P<0.05.
Conclusion   The invasive-non-invasive sequential mechanical ventilation therapy can effectively shorten the patient's treatment time, improve the blood gas analysis indicators, and further improve the clinical efficacy, which is suitable for promotion and reference.