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目的探讨基层医院治疗慢性Ⅱ型呼吸衰竭的有效方法。方法将患者随机分为两组,两组均给予抗炎、解痉、平喘、纠正酸中毒、氧疗及可拉明等常规治疗。治疗组在常规治疗的基础上给予纳洛酮治疗。对照组给予常规治疗。8 d为一疗程。观察治疗前后第3 d、第8 d的临床症状、体征及血气分析变化。结果两组治疗前后总疗效及pH值、PaO2、PaCO2变化比较P<0.01,差异有统计学意义。结论纳洛酮与可拉明联合治疗慢性Ⅱ型呼吸衰竭优于传统的方法。
Objective To explore the effective method of treating chronic type Ⅱ respiratory failure in primary hospital. Methods The patients were randomly divided into two groups. The two groups were given anti-inflammatory, antispasmodic, antiasthmatic, acidosis correction, oxygen therapy and cocaine and other routine treatment. The treatment group was given naloxone on the basis of routine treatment. The control group was given routine treatment. 8 d for a course of treatment. The clinical symptoms, signs and blood gas analysis changes on the 3rd and 8th days before and after treatment were observed. Results Before and after treatment, the total curative effect and pH, PaO2, PaCO2 changes were compared P <0.01, the difference was statistically significant. Conclusion Naloxone and kalalamin combined treatment of chronic type Ⅱ respiratory failure than the traditional method.