体外膈肌起搏器对脑卒中机械通气患者的疗效观察

被引：33

作者：

古菁

黄怀

沈丹彤

邢然然

机构：

[1] 广州,南部战区总医院神经康复二科

来源：

中华神经医学杂志 | 2018年 / 17卷 / 12期

基金：

广州市科技计划项目;

关键词：

脑卒中; 体外膈肌起搏器; 机械通气;

D O I：

暂无

中图分类号：

R743.3 [急性脑血管疾病（中风）];

学科分类号：

100204 [神经病学];

摘要：

目的探讨体外膈肌起搏器对脑卒中机械通气患者的疗效。方法选择自2014年1月至2017年7月入住南部战区总医院神经外科重症监护室(NICU)的100例脑卒中机械通气患者, 根据患者家属意愿将其分为治疗组(n=50)和对照组(n=50)。对照组患者给予常规治疗, 治疗组患者在常规治疗基础上增加体外膈肌起搏器治疗, 治疗30 d后比较2组患者的撤机率、肺部感染发生率及2组撤机患者的机械通气时间、入住NICU的时间和膈肌移动度。结果治疗30 d后, 与对照组比较, 治疗组患者的撤机率增加, 肺部感染的发生率降低, 差异有统计学意义(P<0.05);与对照组中撤机患者比较, 治疗组中撤机患者入住NICU的时间、机械通气时间降低, 膈肌移动度增加, 差异有统计学意义(P<0.05)。结论体外膈肌起搏器可以通过改善膈肌功能来提高撤机率, 并且减少机械通气时间和肺部感染的发生。

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