摘要
目的:分析无创正压通气治疗慢性阻塞性肺疾病并呼吸衰竭的临床疗效。方法:2018年1月-2019年1月收治慢性阻塞性肺疾病合并呼吸衰竭患者50例,随机分为两组,各25例。对照组采用常规治疗;观察组在常规治疗基础上使用无创正压通气治疗。比较两组患者治疗总有效率、治疗前后各项血气指标水平和呼吸次数。结果:观察组治疗总有效率明显高于对照组,差异有统计学意义(P<0.05);观察组治疗后呼吸次数、心率、脉血氧分压(PaO_2)及动脉血二氧化碳分压(PaCO_2)等指标水平均优于对照组,差异有统计学意义(P<0.05)。结论:在对COPD合并呼吸衰竭患者进行常规治疗的同时,增加无创正压通气治疗,能够有效提高临床疗效,同时能够改善患者各项指标水平。
Objective:To analyze the clinical efficacy of noninvasive positive pressure ventilation in the treatment of COPD combined with respiratory failure.Methods:From January 2018 to January 2019,50 patients with COPD combined with respiratory failure were selected and randomly divided into two groups with 25 cases in each group.The control group received conventional treatment.The observation group was treated with noninvasive positive pressure ventilation on the basis of conventional treatment.The total treatment effective rate,the blood gas index level and the number of breaths before and after treatment were compared between two groups.Results:The total effective rate of treatment in the observation group was significantly higher than the control group,with the difference was statistically significant(P<0.05).After treatment,respiratory rate,heart rate,partial pressure of blood oxygen(PaO2),partial pressure of blood carbon dioxide(PaCO2)and other index levels in the observation group were all better than the control group,with the differences were statistically significant(P<0.05).Conclusion:In addition to conventional treatment for COPD patients with respiratory failure,the addition of noninvasive positive pressure ventilation treatment can effectively improve the clinical efficacy,at the same time,it can improve the level of various indicators of patients.
作者
杨海波
王晓光
姚卿
Yang Haibo;Wang Xiaoguang;Yao Qing(92493 Military Hospital,Liaoning Huludao 125000)
出处
《中国社区医师》
2020年第33期84-85,共2页
Chinese Community Doctors
关键词
无创正压通气
慢性阻塞性肺疾病
呼吸衰竭
临床疗效
Noninvasive positive pressure ventilation
Chronic obstructive pulmonary disease(COPD)
Respiratory failure
Clinical efficacy
