乌司他丁联合无创正压通气治疗18例急性肺损伤患者血气指标分析及临床疗效比较
投稿时间:2012-12-07  修订日期:2013-03-01  点此下载全文
引用本文:钱小英.乌司他丁联合无创正压通气治疗18例急性肺损伤患者血气指标分析及临床疗效比较[J].药学实践杂志,2013,31(3):207~209
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钱小英 温州市人民医院呼吸内科, 浙江 温州 325000 
中文摘要:目的 研究乌司他丁联合无创正压通气治疗急性肺损伤患者血气指标及临床疗效。方法 选择36例急性肺损伤患者作为研究对象,随机分为给予乌司他丁联合无创正压通气治疗的观察组和无创正压通气治疗的对照组,观察血气指标和应激反应。结果 观察组PaO2、PaO2/FiO2、pH值均明显高于对照组,PaCO2明显低于对照组;观察组血糖和胰岛素水平在治疗后1 d开始恢复,早于对照组。结论 乌司他丁联合无创正压通气治疗能够有效的改善血气指标、缩短应激反应的持续时间,具有积极的临床价值。
中文关键词:急性肺损伤  乌司他丁  无创正压通气
 
Blood gas index analysis and clinical effect comparison of ulinastatin combined with NIPPV in treatment of 18 ALI patients
Abstract:Objective To study the blood gas index and clinical effect of ulinastatin combined with non-invasive positive pressure ventilation in treatment of 36 acute lung injury patients.Methods AlI patients were collected and randomly divided into observation group given ulinastatin and NIPPV and control group given NIPPV. Then blood gas index and stress response were observed.Results PaO2, PaO2/FiO2, pH value of observation group were significantly higher than control group, PaCO2 was significantly lower than control group; glucose and insulin levels of observation recovered from the first day which were significantly earlier than control group.Conclusion The effect of ulinastatin combined with NIPPV had positive clinical value for the improvement of blood gas index and stress response.
keywords:ALI  ulinastatin  NIPPV
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