Therapeutic Effect and Prognosis of Optimal Arterial Compliant Pulmonary Retraction in Patients with Severe Stroke Complicated with Atelectasis or Respiratory Distress Syndrome

Ling-jun SHEN; Ge WANG; Li-juan YUAN

doi:10.12259/j.issn.2095-610X.S20211025

Volume 42 Issue 10

Oct. 2021

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Ling-jun SHEN, Ge WANG, Li-juan YUAN. Therapeutic Effect and Prognosis of Optimal Arterial Compliant Pulmonary Retraction in Patients with Severe Stroke Complicated with Atelectasis or Respiratory Distress Syndrome[J]. Journal of Kunming Medical University, 2021, 42(10): 162-166. doi: 10.12259/j.issn.2095-610X.S20211025

Citation:

Ling-jun SHEN, Ge WANG, Li-juan YUAN. Therapeutic Effect and Prognosis of Optimal Arterial Compliant Pulmonary Retraction in Patients with Severe Stroke Complicated with Atelectasis or Respiratory Distress Syndrome[J]. Journal of Kunming Medical University, 2021, 42(10): 162-166. doi: 10.12259/j.issn.2095-610X.S20211025

Citation:

Ling-jun SHEN, Ge WANG, Li-juan YUAN. Therapeutic Effect and Prognosis of Optimal Arterial Compliant Pulmonary Retraction in Patients with Severe Stroke Complicated with Atelectasis or Respiratory Distress Syndrome[J]. Journal of Kunming Medical University, 2021, 42(10): 162-166. doi: 10.12259/j.issn.2095-610X.S20211025

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Therapeutic Effect and Prognosis of Optimal Arterial Compliant Pulmonary Retraction in Patients with Severe Stroke Complicated with Atelectasis or Respiratory Distress Syndrome

doi: 10.12259/j.issn.2095-610X.S20211025

Third Department of Tuberculosis，Third People’s Hospital of Kunming, Kunming Yunnan 650041，China

Received Date: 2021-08-19
Available Online: 2021-10-29
Publish Date: 2021-10-30

Abstract

Abstract

Objective To compare the clinical efficacy and prognosis of patients with severe stroke complicated with atelectasis or respiratory distress syndrome after different pulmonary reopening treatments. Methods We made a prospective analysis of 96 patients with severe stroke complicated with respiratory distress syndrome or atelectasis admitted to the Third People’ s Hospital in Kunming from October 2017 to October 2019. The stratified randomized method was used to divide the patients into 2 groups: control group and experimental group with 48 cases in each group. Both groups underwent active symptomatic treatment. On the basis of this, the control group was subjected to progressive end-expiratory pulmonary recruitment, and the experimental group was performed with compliant lung recruitment. The clinical efficacy and prognosis of the two groups of patients after different lung recruitment were compared and analyzed. Results PaO2, PaO2/FiO2 indicators in the two groups of patients after lung recruitment were changed to some extent before treatment. The PaO₂ index of 0.5 h after treatment in the experimental group and the PaO₂ and PaO₂/FiO₂ indexes at 1 h after treatment were higher than the control group. The difference was significant （P < 0.05）. The intracranial pressure and cerebral perfusion pressure index of the control group after lung recruitment were significantly different from those before treatment, while the indexes in the experimental group were more stable before and after treatment, and there was significant difference compared with the control group （P < 0.05）. The NSE level of the group was lower than that of the control group （P < 0.05）. The total effective rate of clinical treatment in the experimental group was （79.17%） higher than that in the control group （60.42%）, and the difference between the groups was significant （χ² = 4.002, P = 0.045）. There was no significant difference in the mortality rate and adverse reaction rate between the two groups （P > 0.05）. Conclusion For patients with severe stroke complicated with atelectasis or respiratory distress syndrome, compliant lung recruitment intervention is effective in promoting stable hemodynamic parameters, improving brain tissue damage, and reducing prognosis. It is worthy of clinical application.
- Severe stroke,
- Atelectasis,
- Respiratory distress,
- Optimal arterial compliant pulmonary retraction

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References(18)

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