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目的探讨应用无创机械通气治疗慢性阻塞性肺疾病(COPD)合并失代偿期呼吸衰竭的疗效。方法将COPD合并失代偿期Ⅱ型呼吸衰竭分为治疗组和对照组,各40例,记录生命体征、血气分析变化。结果通过24 h、72 h后两组比较,治疗组对提高PaO2和降低PaCO2与对照组比较,差异有统计学意义(P<0.05)。结论无创机械通气对COPD合并失代偿期Ⅱ型呼吸衰竭的治疗较好,可作为一线治疗手段。
Objective To investigate the curative effect of non-invasive mechanical ventilation on chronic obstructive pulmonary disease (COPD) with decompensated respiratory failure. Methods COPD patients with decompensated type Ⅱ respiratory failure were divided into treatment group and control group, 40 cases in each group. The vital signs and blood gas analysis were recorded. Results After 24 h and 72 h, the difference between the two groups was statistically significant (P <0.05). Conclusion Noninvasive mechanical ventilation is a better first-line treatment for COPD with decompensated stage II respiratory failure.