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目的:探讨鼻(面)罩无创双水平气道正压通气(BiPAP)在慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭的治疗作用。方法:入选病例60例,分为常规治疗组28例,采用常规治疗;呼吸机治疗组32例,在常规资料基础上加用Bi-PAP无创呼吸机治疗,两组患者心率,呼吸频率,血气分析比较。结果:呼吸机治疗组患者心率,呼吸频率,血气分析的改善优于常规治疗组,差异有统计学意义(P<0.05)。结论:无创双水平气道正压机械通气辅助治疗COPD合并Ⅱ型呼吸衰竭具有肯定的疗效,能更快地缓解患者的临床症状;提高PaO2,SaO2和降低PaCO2;能更好地促进病情的恢复,减少住院时间。
Objective: To investigate the therapeutic effect of nasal (facial) mask noninvasive bi-level positive airway pressure (BiPAP) on type 2 respiratory failure in patients with chronic obstructive pulmonary disease. Methods: Sixty cases were selected and divided into two groups: conventional treatment group (n = 28) and conventional treatment group (n = 32). Ventilator treatment group (n = 32) received Bi-PAP noninvasive ventilator on the basis of conventional data. Heart rate, respiratory rate, analyse and compare. Results: The improvement of heart rate, respiratory rate and blood gas analysis in patients treated with ventilator was better than that of conventional treatment group (P <0.05). CONCLUSIONS: Noninvasive bi-level positive airway pressure mechanical ventilation has a positive effect in COPD with type Ⅱ respiratory failure, which can relieve the patients’ clinical symptoms more quickly, increase PaO2, SaO2 and decrease PaCO2, and can better promote the recovery of the disease , Reduce hospital stay.