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目的观察双水平气道正压通气(Bi PAP)在重叠综合征治疗中的应用效果。方法 60例老年维吾尔族(维族)重叠综合征患者按治疗方法分为观察组和对照组各30例,两组均给予基础治疗,观察组在此基础上给予Bi PAP,对照组在此基础上给予持续正压通气(CPAP),观察两组睡眠质量、血气分析、肺功能。结果与同组治疗前比较,观察组及对照组最长呼吸暂停时间、醒觉指数、睡眠紊乱指数、Pa CO2、FVC水平降低,p H、Pa O2、Sp O2、FEV1、FEV1/FVC升高(P均<0.05);与对照组比较,观察组治疗后最长呼吸暂停时间、醒觉指数、睡眠紊乱指、p H、Pa CO2降低,Pa O2、Sp O2、FVC、FEV1、FEV1/FVC升高(P均<0.05)。结论与CPAP比较,Bi PAP更能有效改善老年维族重叠综合征患者睡眠质量、血气分析及肺功能。
Objective To observe the effect of bi-level positive airway pressure (Bi PAP) in the treatment of overlapping syndrome. Methods Sixty elderly patients with Uygur (Uygur) overlap syndrome were divided into observation group and control group according to the treatment method. Each group was given basic treatment. On the basis of this, Bi PAP was given to the observation group Continuous positive pressure ventilation (CPAP) was given to observe the quality of sleep, blood gas analysis, pulmonary function. Results Compared with the same group before treatment, the longest apnea time, awake index, sleep disturbance index, PaCO 2, FVC and p H, Pa O 2, Sp O 2, FEV 1 and FEV 1 / FVC of the observation group and the control group were all increased (P <0.05). Compared with the control group, the longest apnea time, awake index, sleep disturbance index, p H, Pa CO2, Pa O2, Sp O2, FVC, FEV1, FEV1 / FVC Increased (P <0.05). Conclusion Compared with CPAP, Bi PAP can effectively improve sleep quality, blood gas analysis and pulmonary function in elderly patients with Uygur overlap syndrome.