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目的:探讨慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭不同治疗方案的疗效,为临床合理制定治疗方案提供参考。方法:收集我院2008年至2011年收治的120例慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者的住院病历,分为两组,60例对照组,给予低流量持续吸氧治疗和内科药物治疗等常规治疗,60例观察组,给予联合使用呼吸机无创正压通气与内科常规治疗。通过比较治疗后两组患者的血气、心率、呼吸频率的变化。结果:观察组的观察指标改善显著好于对照组,统计学上有显著差异(P<0.05)。结论:无创正压通气治疗慢阻肺合并Ⅱ型呼吸衰竭,能显著改善患者的临床症状和血气参数,疗效确切,值得推广。
OBJECTIVE: To investigate the curative effect of different treatment regimens of chronic obstructive pulmonary disease (COPD) complicated with respiratory failure of type Ⅱ, and to provide reference for the clinical treatment planning. Methods: The hospital records of 120 patients with chronic obstructive pulmonary disease and type Ⅱ respiratory failure admitted in our hospital from 2008 to 2011 were divided into two groups and 60 patients. The patients were given continuous low oxygen flow oxygen therapy and medical treatment And other conventional treatment, 60 cases of observation group were given a combination of noninvasive positive pressure ventilation and medical routine treatment. By comparing the two groups of patients after treatment of blood gas, heart rate, respiratory rate changes. Results: The observation group improved significantly better than the control group, statistically significant difference (P <0.05). Conclusion: Noninvasive positive pressure ventilation in COPD patients with type Ⅱ respiratory failure can significantly improve the clinical symptoms and blood gas parameters of patients, and the curative effect is worthy of promotion.