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題名 | 住院中低氧合病患使用侵襲性正壓呼吸器的成效=Outcome of In-patient with Poor Oxygenation Using Invasive Positive Mechanical Ventilator |
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作者姓名(中文) | 陳寶貝; 林碧華; 李俊德; | 書刊名 | 呼吸治療雜誌 |
卷期 | 10:2 2011.07[民100.07] |
頁次 | 頁1-11 |
分類號 | 415.415 |
關鍵詞 | 低氧合; 侵襲性呼吸器; 吐氣末正壓; Poor oxygenation; Mechanical ventilation; PEEP; |
語文 | 中文(Chinese) |
中文摘要 | 爲了探討住院中低氧合病患與呼吸器加上吐氣末正壓間(1)不同使用原因的成效(2)不同嚴重度住院中低氧合病患的治療結果及(3)影響脫離率、存活率的因子,我們進行此研究。凡是本院住院病患因呼吸衰竭需使用呼吸器且FIO2>50%、PaO2/FiO2≦200mmHg者,即納入追踪對象。結果顯示本院96年度全年住院中低氧合病患共638人,男/女比例483/155,平均年齡爲67±16歲,存活率爲37.8%,成功脫離呼吸器者有25.9%,病危自動出院者有30.7%,院內死亡者有31.5%。引起住院中低氧合病患的原因大部份以感染佔45.1%最多,其中因肺炎佔182人次(28.5%)。不同嚴重度住院中低氧合病患使用侵襲性呼吸器,發現最高吐氣末正壓(PEEP:0-5cmH2O、6-10cmH2O、11-15cmH2O、>15cmH2O組)越高,其呼吸器使用天數越長,(17±19、22±23、21±19、26±21),有統計差異(P<0.009),且脫離率越低(37.2%、25.0%、17.7%、15.0%),存活率越低(50.9%、38.4%、28.4%、22.5%),有顯著差異(P<0.05)。 |
英文摘要 | We conducted this study to discuss about the poor oxygenation patients requiring invasive positive mechanical ventilation (MV)and PEEP, including: 1) Outcomes in different reason of using MV, 2) the treatment result in various patients of poor oxygenation using MV and PEEP, 3) the predictors of weaning rate and survival rate during MV and PEEP use. Poor oxygenation was assigned by the following criteria; FIO2>50%、PaO2/FiO2≦200mmHg. A total of 638 patients with MV and PEEP were recruited in our hospital from January to December 2007. The rate of male and female were 483/155, the mean age was 67±16 years old, the successful weaning rate and survival rate was 25.9% and 37.8% respectively. The most frequent using ventilator factor was infection (45.1%), which pneumonia was 182 patients (28.5%). Comparing the various maximum PEEP of poor oxygenation groups during ventilator use (PEEP:0-5cmH2O、6-10cmH2O、11-15 cmH2O、>15 cmH2O), The higher PEEP group compressed with other groups was statistical significance increase MV days (17±19、22±23、21±19、26±21), and also statistical significance lower both survival rate (50.9%、38.4%、28.4%、22.5%) and weaning rate. (37.2%、25.0%、17.7%、15.0%). |
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