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目的观察经(鼻)面罩双水平气道正压通气(BiPAP)对慢性阻塞性肺疾病(COPD)急性加重并发呼吸衰竭的治疗作用。方法经BiPAP通气治疗85例患者为观察组,同期常规方法治疗85例患者为对照组,比较二组治疗前后血气分析指标及临床改善情况。结果观察组经无创正压通气治疗后血气指标及一般情况明显改善,对照组较前有改善,二组改善情况比较差异有统计学意义。观察组住院天数与对照组比较差异有统计学意义(P<0.05)。结论BiPAP呼吸机经(鼻)面罩无创通气治疗COPD并呼吸衰竭疗效满意,无明显并发症,值得临床推广应用。
Objective To observe the therapeutic effect of bilevel positive airway pressure (BiPAP) on acute exacerbation of chronic obstructive pulmonary disease (COPD) complicated with respiratory failure by nasal mask. Methods Eighty-five patients treated by BiPAP ventilation were selected as observation group and 85 patients treated by routine method were compared as control group. Blood gas analysis indexes and clinical improvement were compared between the two groups before and after treatment. Results The observation group and non-invasive positive pressure ventilation after treatment significantly improved blood gas indicators and general conditions, the control group improved compared with the previous group, the improvement was statistically significant difference. The observation group hospitalization days compared with the control group, the difference was statistically significant (P <0.05). Conclusion BiPAP ventilator via nasal mask noninvasive ventilation in the treatment of COPD and respiratory failure with satisfactory results, no obvious complications, it is worthy of clinical application.