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目的:讨论无创呼吸机在慢性阻塞性肺疾病急性加重期伴呼吸衰竭患者中的应用,找到治疗的最佳方法。方法:回顾性分析于2012年4月份到2013年5月份在我院接受治疗的慢性阻塞性肺疾病伴呼吸衰竭的120例患者,将其分为对照组和实验组,每组各60例,其中对实验组患者采用无创呼吸机治疗,对照组不采用无创呼吸机治疗,而是采用呼吸兴奋剂来进行相应治疗。比较两组治疗效果。结果:实验组的60例患者的治疗效果明显高于对照的治疗效果。实验组患者在治疗后的24h内其血气纠正状况明显好于治疗前,而对照组的变化不大。结论:无创呼吸机在AECOPD伴呼吸衰竭患者中的应用具有良好的治疗效果,能够有改善病人的病情,缩短住院时间,具有很好的临床治疗效果。
OBJECTIVE: To discuss the use of noninvasive ventilator in patients with respiratory failure during acute exacerbation of chronic obstructive pulmonary disease (COPD), and to find the best method of treatment. Methods: A retrospective analysis of 120 patients with chronic obstructive pulmonary disease and respiratory failure who were treated in our hospital from April 2012 to May 2013 was divided into control group and experimental group, with 60 cases in each group. Among them, patients in experimental group were treated with noninvasive ventilator, while those in control group were not treated with noninvasive ventilator, but treated with respiratory stimulant. Compare the treatment effect of two groups. Results: The experimental group of 60 patients was significantly higher than the control effect of treatment. The experimental group patients within 24 hours after treatment, its blood gas corrected significantly better than before treatment, while the control group changed little. Conclusion: The application of noninvasive ventilator in AECOPD patients with respiratory failure has good therapeutic effect, which can improve the patient’s condition, shorten the length of hospital stay, and has a good clinical effect.