摘要
目的探讨无创正压通气(NIPPV)治疗慢性阻塞性肺疾病急性加重期(AECOPD)并Ⅱ型呼吸衰竭的临床疗效。方法选择住院的81例AECOPD患者随机分为治疗组42例,对照组39例,治疗组在对照组常规药物治疗基础上加用无创正压通气治疗并观察两组治疗前后血气分析、呼吸、心率及气管插管率。结果治疗组患者血气分析及呼吸心率的改善显著优于对照组,而气管插管率明显低于对照组,差异有统计学意义(P<0.05)。结论无创正压通气对AECOPD并II型呼吸衰竭患者疗效显著。
Objective To evaluate the value of non - invasive positive pressure ventilation i NIPPV） in the treatment of acute exacerbation of chronic obstructive pulmonary disease （AECOPD） with respiratory failure. Methods 81 patients with AECOPD were randomly divided into trial group （42 cases） and control group （39 cases）, which respectively received conventional medical therapy plus NIPPV and conventional medical therapy only. The of blood gas analysis, breath rate, heart rate and tracheal cannula rate of patients before and after the treatment were compared between the two groups. Results The blood gas analysis, heart rate, and breath rate improved more significantly in the trial group than those in the control groups, meanwhile, the tracheal cannula rate in the trial groups is much lower than the control group （P 〈 0.05 ）. Conclusion Non-invasive positive pressure ventilation has positive effects on patients of AECOPD with respiratory failure significantly.
出处
《临床肺科杂志》
2008年第3期286-287,共2页
Journal of Clinical Pulmonary Medicine
关键词
慢性阻塞性肺疾病
呼吸衰竭
无创正压通气
chronic obstructive pulmonary disease
respiratory failure
non -invasive positive pressure ventilation
