论文部分内容阅读
目的:评价和认识无创正压机械通气在COPD合并Ⅱ型呼吸衰竭的疗效。方法:收集32例老年COPD合并Ⅱ型呼吸衰竭,分为对照组与治疗组,每组各为16例。对照组患者接受常规药物治疗,治疗组患者则给予常规药物治疗加无创机械通气治疗。然后比较两组治疗后血气分析(PaO2、PaCO2、PH)及呼吸频率(RR)、心率(HR)。结果:治疗组与对照组治疗前后PaO2、PaCO2、PH、RR、HR均有所改善,治疗组较对照组改善明显,治疗组患者住院时间和气管插管较对照组低。这一结论具有统计学意义(P<0.05)。结论:无创机械通气为老年COPD合并Ⅱ型呼吸衰竭提供有效治疗手段。
Objective: To evaluate and understand the efficacy of noninvasive positive pressure mechanical ventilation in COPD with type Ⅱ respiratory failure. Methods: Thirty-two elderly COPD patients with type Ⅱ respiratory failure were collected and divided into control group and treatment group, with 16 cases in each group. Patients in the control group received conventional medical therapy while those in the treatment group received conventional medical therapy plus noninvasive mechanical ventilation. Then compare the two groups of blood gas analysis (PaO2, PaCO2, PH) and respiratory rate (RR), heart rate (HR). Results: The PaO2, PaCO2, PH, RR and HR of the treatment group and the control group were improved before and after treatment. The treatment group improved significantly compared with the control group. The hospitalization time and endotracheal intubation of the treatment group were lower than those of the control group. This conclusion is statistically significant (P <0.05). Conclusion: Noninvasive mechanical ventilation provides effective treatment for elderly COPD with type Ⅱ respiratory failure.