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目的:探讨有创与无创序贯性机械通气治疗慢性阻塞性肺疾病(COPD)所致严重呼吸衰竭的临床应用效果。方法:选取2012年1月-2014年1月于我院接受治疗的COPD致严重呼吸衰竭患者共60例,按照入院编号,随机分为两组,观察组和对照组患者各40例,对照组患者采用传统气管插管机械通气治疗,观察组患者采用有创与无创序贯性机械通气治疗,比较两组患者的治疗效果。结果:观察组患者的有创通气时间、总通气时间、住院时间及VAP发生率均明显低于对照组患者,组间治疗效果比较具有明显差异,(P<0.05)。结论:临床上在治疗慢性阻塞性肺疾病(COPD)所致严重呼吸衰竭时,可以采用有创与无创序贯性机械通气的治疗方法,能有效改善患者治疗效果,提高预后质量,获得非常理想的治疗效果,值得在临床上大力推广。
Objective: To investigate the clinical effect of invasive and noninvasive sequential mechanical ventilation in treating severe respiratory failure caused by chronic obstructive pulmonary disease (COPD). Methods: A total of 60 COPD patients with severe respiratory failure who were treated in our hospital from January 2012 to January 2014 were selected and randomly divided into two groups according to admission numbers: 40 cases in observation group and control group, and 40 cases in control group The patients were treated by traditional endotracheal intubation mechanical ventilation. The patients in the observation group were treated by invasive and noninvasive sequential mechanical ventilation. The therapeutic effect was compared between the two groups. Results: The invasive ventilation time, total ventilation time, hospitalization time and the incidence of VAP in the observation group were significantly lower than those in the control group. There was significant difference between the two groups in the treatment effect (P <0.05). Conclusion: In clinical treatment of severe respiratory failure caused by chronic obstructive pulmonary disease (COPD), invasive and noninvasive sequential mechanical ventilation can be used, which can effectively improve the therapeutic effect of patients and improve the quality of prognosis, and obtain a very satisfactory The treatment effect, it is worth to vigorously promote in the clinic.