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目的研究在COPD并II型呼吸衰竭患者中行无创呼吸机治疗的临床观察。方法截取我院2009年3月至2011年3月116例COPD并II型呼衰患者临床资料进行比较分析。结果 2组患者治疗疗效比较方面,联合组有效54例,占93.10%;比较单用组高出13.79%。治疗前后联合组临床监测指标提示,PaO2提高3.7±0.39,PaCO2下降3.49,pH恢复正常水平,呼吸下降8.6±2.0,心率下降22.7±5.3。差异行统计学分析提示,P均<0.05,差异有统计学意义。结论患者在无创性治疗过程中感觉舒适,接受程度高,操作性较为简易,治疗效果满意,适合临床推广。
Objective To study the clinical observation of noninvasive ventilator in patients with COPD and type II respiratory failure. Methods The clinical data of 116 COPD patients with type Ⅱ respiratory failure in our hospital from March 2009 to March 2011 were compared and analyzed. Results Comparison of the curative effect between the two groups showed that the combined group was effective in 54 cases (93.10%) and higher than the single group (13.79%). Clinical monitoring indicators before and after treatment in the combined group suggest that PaO2 increased 3.7 ± 0.39, PaCO2 decreased 3.49, pH returned to normal levels, respiration decreased 8.6 ± 2.0, heart rate decreased 22.7 ± 5.3. Differences in statistical analysis showed that, P <0.05, the difference was statistically significant. Conclusions The patients feel comfortable in the non-invasive treatment, with high acceptability, simple operation, satisfactory therapeutic effect and suitable for clinical promotion.