呼吸机辅助呼吸对急性脑出血合并呼吸衰竭患者血气指标和神经功能的影响

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Abstract Objective To explore the effect of ventilator assisted breathing on blood gas index and nerve function in patients with acute cerebral hemorrhage complicated with respiratory failure. Methods From January 2016 to December 2017, in the Fourth Hospital of Changsha City, 88 patients with acute cerebral hemorrhage complicated with respiratory failure were selected, according to the results of the patient rescue result, they were divided into succeed group (35 cases) and failure group (53 cases). The MAP, PaO2, PaCO2, and pH values of the two groups were compared before and after treatment, the NIHSS, APACHE Ⅱ, and GCS scores of patients in the succeed group were compared at different time points before and after treatment. Results After 48 h of ventilation treatment, the PaO2 and pH values in the two groups significantly improved than before the ventilation treatment (P < 0.05); the values of MAP and PaCO2 in the succeed group significantly reduced than before the ventilation treatment (P < 0.05); the PaCO2 values in the failure group significantly reduced than before the ventilation treatment (P < 0.05), the MAP value in the failure group did not significantly changed compared with before treatment (P > 0.05). The NIHSS scores in the succeed group significantly reduced after treated for 7, 28 d compared with before treatment (P < 0.05); after 48 h of ventilation treatment, the GCS scores in the succeed group significantly increased than before the ventilation treatment (P < 0.05), the APACHEⅡ scores significantly reduced than before ventilation (P < 0.05); the GCS, APACHEⅡ scores in the failure group without significantly changed compared with before treatment (P > 0.05). Conclusion Ventilator-assisted breathing can significantly improve the blood gas function of patients with acute cerebral hemorrhage complicated with respiratory failure, and promote the recovery of nerve function of successful patients.

Key words： Ventilator Acute cerebral hemorrhage Respiratory failure Blood gas index Neurological function

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	WANG Jiadong HUANG Yan WU Rong TAN Mingwan LIU Jun

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WANG Jiadong HUANG Yan WU Rong TAN Mingwan LIU Jun. Effects of ventilator assisted breathing on blood gas and neurological function in patients with acute cerebral hemorrhage and respiratory failure[J]. 中国医药导报, 2019, 16(7): 84-87.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2019/V16/I7/84

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