摘要
目的:探讨无创呼吸机治疗慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭的临床效果,为临床推广做出指导。方法:选择笔者所在医院2009年7月-2012年7月收治的143例慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者为研究对象,随机分为两组。对照组给予吸氧、平喘、利尿、祛痰、抗感染、维持电解质平衡以及营养支持等常规对症支持治疗,治疗组在对照组的基础上再给予无创呼吸机治疗,比较两组患者的临床治疗效果及血气分析结果。结果:(1)治疗组有效率为93.06%,明显高于对照组的80.28%,差异有统计学意义(P<0.05);(2)两组患者治疗后PaCO2、PaO2较治疗前均得到明显改善,且治疗组较对照组更明显,差异有统计学意义(P<0.05);(3)治疗组患者住院时间、住院费用以及1年内复发次数均优于对照组,差异有统计学意义(P<0.05)。结论:无创呼吸机治疗慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭的临床效果显著,提高患者临床治疗效果的同时,减少患者住院时间以及经济负担,值得广泛推广。
[ Abstract ] Objective： To investigate clinical effects of non-invasive ventilation in the treatment of COPD combined with type H respiratory failure, which made guidance for clinical application.Method： 143 cases patients admitted to our hospital from July 2009 to July 2012 were divided into control group（given conventional therapy） and treatment group（given non-invasive ventilation）, the treatment effects of two groups were compared.Result： （1）The effective rate of treatment group（93.06%） was higher than that of control group（80.28%）, the difference was statistically significant（P〈0.05）.（2）The levels of PaCO2 and PaO2 of treatment group were better than that of control group, the difference was statistically significant（P〈0.05）.（3）The hospitalization＇time, hospital costs, and a year relapse frequency of treatment group were better than that of control group, the difference was statistically significant（P〈0.05）.Conclusion： Non-invasive ventilation has a significant effect on treating COPD combined with type Ⅱ respiratory failure, which is worthy of clinical widely promotion.
出处
《中外医学研究》
2014年第3期7-9,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
慢性阻塞性肺疾病
Ⅱ型呼吸衰竭
无创呼吸机
Chronic obstructive pulmonary disease
Type Ⅱ respiratory failure
Non-invasive ventilation
