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目的探究无创正压通气治疗老年慢性阻塞性肺疾病(COPD)Ⅱ型呼吸衰竭患者的临床疗效。方法 72例老年COPDⅡ型呼吸衰竭患者作为研究对象,随机分为实验组和对照组,每组36例;对照组患者接受常规治疗,实验组患者在接受常规治疗的基础上同时给予无创正压通气治疗,比较分析两组患者的临床疗效。结果经过治疗后两组患者的Pa CO2、Pa O2、p H均得到明显改善,但是对照组患者的改善幅度明显低于实验组患者,两组比较差异具有统计学意义(P<0.05);实验组患者的治疗总有效率为91.7%,对照组患者的治疗总有效率为77.8%,两组比较差异具有统计学意义(P<0.05)。结论无创正压通气疗法对老年COPDⅡ型呼吸衰竭患者的治疗效果显著,值得在今后的临床治疗中推广使用。
Objective To investigate the clinical efficacy of noninvasive positive pressure ventilation in treating elderly patients with chronic obstructive pulmonary disease (COPD) type Ⅱ respiratory failure. Methods Seventy-two elderly patients with COPD type Ⅱ respiratory failure were randomly divided into experimental group and control group, with 36 cases in each group. Patients in control group received routine treatment. Patients in experimental group received non-invasive positive pressure ventilation on the basis of routine treatment Treatment, comparative analysis of the clinical efficacy of two groups of patients. Results After treatment, the PaCO 2, Pa O 2 and p H in both groups were significantly improved, but the improvement in the control group was significantly lower than that in the experimental group, the difference was statistically significant (P <0.05); the experimental The total effective rate of the treatment group was 91.7%, while that of the control group was 77.8%. The difference between the two groups was statistically significant (P <0.05). Conclusion Noninvasive positive pressure ventilation has significant therapeutic effect on elderly patients with COPD type Ⅱ respiratory failure and is worth popularizing in the future clinical treatment.