摘要
目的探讨在老年AECOPD合并2型呼吸衰竭患者中应用无创机械通气治疗的有效性和安全性。方法47例老年AECOPD并2型呼吸衰竭患者随机分为通气组与对照组,各例均接受常规抗感染、祛痰、平喘等治疗,通气组患者加用双水平气道正压通气治疗。在治疗前和治疗48小时后分别进行血气分析检查。结果两组患者治疗后的血气较治疗前均有明显改善(P<0.05),而与对照组相比,通气组患者治疗后血气改善更明显(P<0.05)。结论对于合并呼吸衰竭的老年AECOPD患者,使用无创机械通气治疗是比较有效的一种方法。
Objective To evaluate the validity and safety of noninvasive machine ventilation on aged AECOPD patients with type Ⅱ respiratory failure. Methods 46 aged AECOPD patients with type II respiratory failure were randomly divided into the aeration group and the control group. All patients were given antiinfection, eliminating phlegm, and relieving asthma. The aeration group were treated with noninvasive BiPAP ventilation in addition to routine treatment. All patients were given blood gas analysis before and 48 hours after the treatment. Results The blood gas analysis of the two groups improved obviously （ P 〈 0. 05 ）. Compared to the control group, the blood gas analysis of the aeration group were improved more obvious （ P 〈 0. 05 ）. Conclusion It is affirmative that the noninvasive mechanical ventilation treatment is effective on aged AECOPD patients with type Ⅱ respiratory failure.
出处
《临床肺科杂志》
2008年第12期1547-1548,共2页
Journal of Clinical Pulmonary Medicine
关键词
COPD
2型呼吸衰竭
无创机械通气
COPD
type Ⅱ respiratory failure
noninvasive mechanical ventilation
