论文部分内容阅读
目的评估无创正压机械通气(NIPPV)对慢性阻塞性肺疾病急性加重期(AECOPD)合并Ⅱ型呼吸衰竭的治疗效果。方法 135例AECOPD合并Ⅱ型呼吸衰竭患者,随机分为两组,观察组72例,对照组63例均给予综合治疗,观察组同时给予NIPPV治疗,对比两组治疗效果。结果观察组与对照组治疗前血气分析PCO2、PO2,组间对比,差异无统计学意义(P>0.05);治疗后4 h血气分析PCO2、PO2及呼吸困难缓解天数,级间对比,差异有统计学意义(P<0.01)。两组均未出现严重不良反应。结论 NIPPV治疗AECOPD合并Ⅱ型呼吸衰竭疗效确切,值得临床推广使用。
Objective To evaluate the therapeutic effect of NIPPV on AECOPD with type Ⅱ respiratory failure. Methods 135 AECOPD patients with type Ⅱ respiratory failure were randomly divided into two groups. The observation group (72 cases) and the control group (63 cases) were given comprehensive treatment. The observation group received NIPPV treatment at the same time, and the treatment effect was compared between the two groups. Results There was no significant difference between the observation group and the control group before treatment for PCO2 and PO2, there was no significant difference between the two groups (P> 0.05). The levels of PCO2 and PO2, Statistical significance (P <0.01). No serious adverse reactions occurred in either group. Conclusion NIPPV treatment of AECOPD combined respiratory failure type Ⅱ curative effect is exact, worthy of clinical promotion and use.