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目的:研究观察无创呼吸机联合震动排痰机治疗COPD合并呼吸衰竭患者的临床疗效,并总结有效治疗措施。方法:回顾性分析我院于2015年1月1日~2016年12月31日收治的42例COPD合并呼吸衰竭患者的病历资料,随机分为对照组和观察组,对照组患者采用无创呼吸机治疗,观察组患者在对照组基础上进行联合震动排痰机治疗,对比分析两组患者的临床有效率、治疗后呼吸频率及心率变化、治疗后动脉血气。结果:(1)观察组临床有效率(90.5%)高,P<0.05,有统计学意义。(2)两组间患者治疗后,观察组患者的呼吸频率(20.8±7.5)次/min、心率(83.6±4.7)次/min好转较快,P<0.05。(3)治疗后观察组患者的PaO_2、PH值改善较优,P<0.05。结论:无创呼吸机联合震动排痰机治疗COPD合并呼吸衰竭疗效尤为显著,值得临床推广应用。
Objective: To study the clinical effect of noninvasive ventilator combined with vibration and sputum aspiration sputum in patients with COPD and respiratory failure, and to summarize the effective treatment measures. Methods: The clinical data of 42 COPD patients with respiratory failure admitted to our hospital from January 1, 2015 to December 31, 2016 were retrospectively analyzed and randomly divided into control group and observation group. Patients in control group were treated with noninvasive ventilator The patients in the treatment group and the observation group were treated by combined vibration and phlegm-removing treatment on the basis of the control group. The clinical efficacies, respiration rate and heart rate of the two groups were compared after treatment. The arterial blood gas after treatment was compared. Results: (1) The observation group, the clinical effective rate (90.5%) was high, P <0.05, with statistical significance. (2) After treatment, the respiratory rate (20.8 ± 7.5) / min and the heart rate (83.6 ± 4.7) / min in the observation group improved faster (P <0.05). (3) After treatment PaO_2 in the observation group patients improved PH value better, P <0.05. Conclusion: Noninvasive ventilator combined with vibrating sputum exhausting machine is particularly effective in treating COPD with respiratory failure. It is worthy of clinical application.