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目的观察慢性阻塞性肺疾病(以下简称慢阻肺)呼吸衰竭患者使用无创呼吸机治疗的临床效果。方法选取2014年11月-2015年11月医院收治的慢阻肺呼吸衰竭患者84例,随机分为试验组与对照组各42例。对照组采用常规对症治疗,试验组在对照组基础上加用无创呼吸机进行治疗。比较2组患者临床各项指标、治疗效果。结果试验组在治疗10d后的PaO_2、PaCO_2、心率三项观察指标均明显优于对照组,较差异有统计学意义(P<0.05),治疗4d后的呼吸频率明显优于对照组,差异均有统计学意义(P<0.05),治疗4、10d后的酸碱度变化明显优于对照组,差异有统计学意义(P<0.05),总有效率为95.24%明显高于对照组的80.95%,差异有统计学意义(P<0.05)。结论对慢阻肺呼吸衰竭患者,采用常规对症治疗的基础上,应用无创呼吸机进行治疗的效果比较显著,具有临床应用与推广的价值。
Objective To observe the clinical effect of noninvasive ventilator in patients with respiratory failure of chronic obstructive pulmonary disease (COPD). Methods Eighty-four COPD patients admitted from November 2014 to November 2015 in our hospital were randomly divided into experimental group and control group with 42 cases each. The control group was treated with conventional symptomatic treatment, and the experimental group was treated with non-invasive ventilator on the basis of the control group. The two groups of patients clinical indicators, the treatment effect. Results The Pao 2, PaCO 2, and heart rate of the experimental group were significantly better than those of the control group after 10 days of treatment (P <0.05), and the respiration rate of the experimental group was significantly better than that of the control group after 4 days (P <0.05). After 4 and 10 days of treatment, the change of pH value was obviously better than that of the control group (P <0.05). The total effective rate was 95.24%, which was significantly higher than that of the control group (80.95% The difference was statistically significant (P <0.05). Conclusion Based on routine symptomatic treatment, non-invasive ventilator for treatment of COPD patients with respiratory failure is more effective and has clinical application and promotion value.