论文部分内容阅读
目的探讨治疗场所对无创正压通气(NPPV)治疗伴意识障碍慢性阻塞性肺疾病急性加重期(AECOPD)患者疗效的影响,为临床医师合理选择无创正压通气治疗场所提供依据。方法 38例重症监护病房AECOPD合并呼吸衰竭伴有神志障碍患者为重症监护病房组,呼吸内科收治的40例AECOPD合并呼吸衰竭伴有神志障碍患者为呼吸内科病房组,调查两组患者的动脉血气和生命征的变化。结果 NPPV治疗后,重症监护病房组患者的动脉血气p H值、二氧化碳分压(PCO_2)和呼吸频率在72 h内的改善均优于呼吸内科病房组(P<0.05)。结论重症监护室的监护条件、医护比例及紧急气管插管能力等优越条件可有助于NPPV改善伴意识障碍AECOPD患者的动脉血气的p H值、PCO2和呼吸频率,从而降低气管插管率和死亡率,应用NPPV治疗伴意识障碍AECOPD患者时应在重症监护室实施。
Objective To explore the effect of the treatment site on the curative effect of non-invasive positive pressure ventilation (NPPV) on patients with acute obstructive pulmonary disease (AECOPD) accompanied by disturbance of consciousness, and to provide evidence for clinicians to choose non-invasive positive pressure ventilation. Methods AECOPD was performed in 38 intensive care units (AECOPD) patients with respiratory failure accompanied by delirium. The 40 AECOPD patients with respiratory failure accompanied by mental disorders were enrolled in Respiratory Medicine ward. The arterial blood gases Vital signs of change. Results After treatment with NPPV, the improvement of p H value, PCO 2 and respiratory rate in ICU patients was better than that in respiratory medicine ward (P <0.05). Conclusion The superior conditions of intensive care unit such as guardianship, proportion of medical care and emergency endotracheal intubation may contribute to the improvement of p H value, PCO2 and respiratory rate of arterial blood gas in patients with AECOPD with disturbance of consciousness, thus reducing the intubation rate and Mortality, application of NPPV in patients with AECOPD with impaired consciousness should be performed in intensive care unit.