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无创呼吸机治疗对慢阻肺伴呼吸衰竭患者睡眠质量的影响效果分析

To Analyze the Effect of Non-invasive Ventilator Therapy on Sleep Quality in Patients with Chronic Obstructive Pulmonary Disease(COPD)Complicated with Respiratory Failure
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摘要 目的:分析无创呼吸机治疗对慢阻肺伴呼吸衰竭患者睡眠质量的影响效果;方法:选取2021年10月至2022年10月泉州市第一医院收治的慢阻肺伴呼吸衰竭患者86例作为研究对象,按照随机数字表法随机分为对照组和观察组,每组43例。对照组采取常规治疗方式,观察组在常规治疗基础上增加无创呼吸机治疗干预,比较2组治疗效果、治疗前后血气指标、肺功能指标及睡眠质量情况;结果:观察组治疗有效率显著高于对照组,差异有统计学意义(P<0.05);治疗后,观察组血氧分压、二氧化碳分压、血氧饱和度改善情况显著优于对照组,差异有统计学意义(P<0.05);治疗后,观察组FEV 1、FVC、FEV/FVC肺功能指标改善情况显著优于对照组,差异有统计学意义(P<0.05);治疗后,观察组睡眠质量改善情况显著优于对照组,差异有统计学意义(P<0.05);结论:无创呼吸机治疗可明显提高慢阻肺伴呼吸衰竭治疗效果,改善血气指标及肺功能情况,利于睡眠质量的提升。 Objective:To analyze the effect of noninvasive ventilator on sleep quality in patients with chronic obstructive pulmonary disease(COPD)complicated with respiratory failure.Methods:A total of 86 COPD patients with respiratory failure treated in Quanzhou First Hospital from October 2021 to October 2022 were selected as the research objects,and they were divided into control group and analysis group by random number table method,with 43 cases in each group.The control group was treated with conventional treatment,and the observation group was treated with non-invasive ventilator treatment on the basis of conventional treatment.The therapeutic effects,blood gas indexes,lung function indexes and sleep quality before and after treatment were compared between the two groups.Results:The observation group had a significantly higher effective rate than the control group,the difference was statistically significant(P<0.05).After treatment,the improvement of blood oxygen partial pressure,carbon dioxide partial pressure,and blood oxygen saturation in the analysis group were significantly better than those in the control group(P<0.05).The improvement of FEV 1,FVC,FEV/FVC lung function indexes in the observation group after treatment was significantly better than that in the control group(P<0.05).The improvement of sleep quality after treatment in the analysis group was significantly better than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Non-invasive ventilator therapy can significantly improve the therapeutic effect of COPD with respiratory failure,improve blood gas indexes and lung function,and help to improve sleep quality.
作者 林丽真 尤晶晶 吴莲花 LIN Lizhen;YOU Jingjing;WU Lianhua(Department of Respiratory and Critical Care Medicine,Quanzhou First Hospital Chengdong Branch,Quanzhou 362000,China)
出处 《世界睡眠医学杂志》 2023年第9期2211-2214,共4页 World Journal of Sleep Medicine
关键词 无创呼吸机 慢阻肺 呼吸衰竭 肺功能 睡眠质量 Non-invasive ventilator Chronic obstructive pulmonary disease(COPD) Respiratory failure Pulmonary function Quality of sleep
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