原创《无创和有创机械通气治疗肺性脑病临床疗效分析》：此文是一篇机械通气论文范文,为你的毕业论文写作提供有价值的参考。
[摘 要] 目的 分析慢性阻塞性肺疾病（COPD）合并肺性脑病患者分别采用无创通气以及有创机械通气治疗的临床疗效.方法 方便选取该院2013年6月—2016年9月收治的103例COPD合并肺性脑病患者,按照不同的治疗方法随机分为治疗组（52例,采用有创-无创序贯机械通气治疗）和对照组（51例,采用有创机械通气治疗）,对比两组患者有创机械通气时间、总机械通气时间、住院时间、住院费用以及并发症发生率.结果 治疗组患者有创机械通气时间（5.71±2.19）d、总机械通气时间（10.11±2.99）d、住院时间（10.21±3.87）d及住院费用（30 571.21±308.31）元明显少于对照组（P<0.05）.治疗组VAP、气胸等并发症发生率9.6%明显低于对照组33.3%.结论 COPD合并肺性脑病患者采用有创-无创序贯机械通气治疗的效果更佳,可有效缩短机械通气时间以及住院时间,减少VAP发生,减少住院费用,值得广泛推广应用.
[关键词] 慢性阻塞性肺疾病；肺性脑病；无创机械通气；有创机械通气
[中图分类号] R473 [文献标识码] A [文章编号] 1674-0742（2017）11（c）-0063-03
[Abstract] Objective This paper tries to analyze the clinical efficacy of noninvasive ventilation and invasive mechanical ventilation in patients with chronic obstructive pulmonary disease（COPD）complicated with pulmonary encephalopathy. Methods 103 cases of COPD patients with pulmonary encephalopathy in this hospital from June 2013 to September 2016 were conveniently selected, according to the different treatment methods, they were randomly divided into the treatment group（52 cases, using sequential invasive noninvasive mechanical ventilation treatment） and the control group （51 cases, using non-invasive mechanical ventilation）, and the invasive mechanical ventilation time, total mechanical ventilation time,hospitalization time,hospitalization expenses and complications of the two groups were compared. Results The time of mechanical ventilation was （5.71±2.19）d, the total mechanical ventilation time was （10.11±2.99）d, the hospitalization time was （10.21±3.87） d and the hospital cost was （30 571.21±308.31）yuan, significantly less than those in the control group（P<0.05）. The incidence of complications such as VAP and pneumothorax in treatment group was 9.6%, significantly lower than that in control group of 33.3%. Conclusion Using invasive noninvasive sequential mechanical ventilation treatment for COPD patients with pulmonary encephalopathy is better, which can effectively shorten the time of mechanical ventilation and hospitalization time, reduce the incidence of VAP, reduce the cost of hospitalization, therefore it is widely used.
[Key words] Chronic obstructive pulmonary disease； Pulmonary encephalopathy； Noninvasive mechanical ventilation； Invasive mechanical ventilation
肺性腦病主要是因为CO2滞留、呼吸衰竭导致的缺氧出现神经系统紊乱、精神障碍等症状的综合征,该种疾病也是慢性阻塞性肺疾病（COPD） 患者的最终并发症,是导致COPD患者死亡的主要原因[1].CO2潴留很容易导致患者出现嗜睡、昏睡等症状,也会使患者病情进一步加重,临床治疗关键就应该是改善通气[2].临床很多学者提出[3],合并肺性脑病患者不能采用无创呼吸机治疗,更多的采用有创-无创序贯治疗,为对 析COPD合并肺性脑病患者采用无创、有创机械通气治疗的临床效果,该文回顾性分析了该院2013年6月—2016年9月收治的103例COPD合并肺性脑病患者采用有创-无创序贯以及有创机械通气治疗的临床效果,现报道如下.
机械通气论文参考资料：
结论：无创和有创机械通气治疗肺性脑病临床疗效分析为关于机械通气方面的论文题目、论文提纲、氧疗和机械通气的区别论文开题报告、文献综述、参考文献的相关大学硕士和本科毕业论文。
