Zhonghua jie he he hu xi za zhi = Zhonghua jiehe he huxi zazhi = Chinese journal of tuberculosis and respiratory diseases
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Zhonghua Jie He He Hu Xi Za Zhi · Aug 2006
Randomized Controlled Trial[The application of individualized ventilation strategies in acute respiratory distress syndrome].
To explore better ventilation strategies above lower-tidal-volume (LTV) strategy to protect lung function and improve outcome in acute respiratory distress syndrome (ARDS). ⋯ Compared with LTV and high PEEP therapy, IV strategies are feasible for decreasing PEEP and Pplat, increasing tidal compliance and V(T), and avoiding CO2 retention. It also increased free-ICU days and free-organ-dysfunction days.
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Zhonghua Jie He He Hu Xi Za Zhi · Jun 2006
Randomized Controlled Trial Multicenter Study Comparative Study[Comparison of tiotropium inhalation capsules and ipratropium metered dose inhaler in a randomized, double-blind, double-dummy, efficacy and safety study in patients with chronic obstructive pulmonary disease].
To compare the efficacy and safety between tiotropium capsule and ipratropium MDI in a 4 week treatment in patients with chronic obstructive pulmonary disease (COPD). ⋯ The results indicated that tiotropium 18 microg once per day is more potent than ipratropium qid. in bronchodilation to COPD patients with the similar tolerance of ipratropium.
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Zhonghua Jie He He Hu Xi Za Zhi · Jan 2006
Randomized Controlled Trial Multicenter Study[Application of pulmonary infection control window as switching point for sequential invasive to noninvasive ventilation in treatment of severe respiratory failure of chronic obstructive pulmonary disease: a randomized controlled study].
To evaluate the feasibility and the efficacy of early extubation and sequential noninvasive mechanical ventilation (MV) switched by pulmonary infection control window (PIC window) in chronic obstructive pulmonary disease (COPD) with exacerbated hypercapnic respiratory failure. ⋯ Early extubation followed by non-invasive MV initiated at the point of PIC window may decrease the duration of invasive MV and improve the prognosis.
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Zhonghua Jie He He Hu Xi Za Zhi · Jan 2006
Randomized Controlled Trial[The effect of subglottic secretion drainage on prevention of ventilator-associated lower airway infection].
To assess the influence of subglottic secretion drainage (SSD) on the morbidity of ventilator-associated pneumonia (VAP) in mechanically ventilated patients. ⋯ (1) SSD reduced the incidence of VAAI and VAP in patients with MV < 5 d. The onset of VAAI and VAP was delayed in group A as compared with group B. The concentration of bacteria in the subglottic secretion was significantly reduced by subglottic secretion drainage. (2) Migration of the dominant bacteria of the subglottic secretion was one of the important factors for VALAI. (3) The dominant cultured bacteria in the lower airway secretion were gram-negative bacilli, most commonly Pseudomonas aeruginosa and Acinetobacter baumanii.
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Zhonghua Jie He He Hu Xi Za Zhi · Oct 2005
Randomized Controlled Trial Multicenter Study[Early use of noninvasive positive pressure ventilation for patients with acute exacerbations of chronic obstructive pulmonary disease: a multicentre randomized controlled trial].
To assess the efficacy and safety of noninvasive positive pressure ventilation (NPPV) for acute exacerbations of chronic obstructive pulmonary disease (AECOPD) patients on general wards. ⋯ The early use of NPPV on general wards improves arterial blood gas and respiratory pattern, decreases the rate of need for intubation in AECOPD patients. NPPV is indicative for alleviating respiratory muscle fatigue and preventing respiratory failure from exacerbation.