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双水平无创正压通气在COPD合并Ⅱ型呼衰患者中的应用 被引量:9

Clinical application of noninvasive bilevel positive air pressure ventilation in the COPD patients with type Ⅱ respiratory failure
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摘要 目的探讨应用无创机械通气治疗慢性阻塞性肺疾病(COPD)合并合并Ⅱ型呼衰的疗效。方法将COPD合并Ⅱ型呼吸衰竭分为治疗组和对照组,各21例,记录生命体征、血气分析变化。结果通过2 h、24 h后2组比较,治疗组对提高PaO2和降低PaCO2与对照组比较,差异有显著性(P<0.01)。结论B iPAP无创机械通气对COPD合并Ⅱ型呼吸衰竭的治疗较好。 Objective To evaluate the efficacy of noninvasive mechanical ventilation in the treatment of COPD patients with type Ⅱ respiratory failure. Methods 42 cases with COPD complicated with type Ⅱ respiratory failure were randomly divided into two groups: noninvasive mechanic ventilation and control. The measures of the patients, condition, and blood gas analysis were recorded. Results When have being ventilated for 2h and 24h, PaO2 and PaCO2 changed significantly more in the treatment group than that in the controls ( P 〈 0. 01 ). Conclusion BiPAP as an auxiliary treatment is definitely valuable for COPD patients with type- Ⅱ respiratory failure.
作者 沈莉
出处 《临床肺科杂志》 2009年第11期1461-1462,共2页 Journal of Clinical Pulmonary Medicine
关键词 无创通气 慢性阻塞性肺疾病 呼吸衰竭 noninvasive mechanical COPD respiratory failure
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