摘要
目的 无创正压通气治疗慢性阻塞性肺病 (COPD)伴 型呼吸衰竭的疗效。方法 6 0例 COPD伴 型呼吸衰竭的患者随机分为对照组和通气组各 30例 ,对照组给予常规抗感染、祛痰、平喘、低浓度持续吸氧等治疗 ,通气组除给予常规治疗外 ,加 Bi PAP呼吸机辅助通气治疗。结果 通气组治疗 3～ 5天后 Pa O2 、Pa CO2 、Sa O2 明显好转 ,治疗 1 0～ 1 4天 Pa O2 进一步提高 ,心率、呼吸频率降至正常范围 ;对照组治疗 1 0～ 1 4天病情才有好转。结论 Bi PAP呼吸机无创正压通气对 COPD合并 型呼衰患者疗效较好 ,可减少气管插管或气管切开以及相应并发症。
Objective To investigate the clinic effects of noninvasive positive pressure ventilation in the treatment of 30 COPD patients with type II respiratory failure.Methods Sixty cases were divided into two groups: study group and control group. The controls were given anti-infection, eliminating phlegm, reliving asthma and continuously inhaling low concentration oxygen. Those in the study group were treated with BiPAP respirometer in addition to above routine treatment. Results The results showed that the routine treatment combined with BiPAP respirometer could improve PaO 2、 PaCO 2、and SaO 2% after 3-5 days. Meanwhile PaCO 2 continuously rose after 10-14 days, heart rate and respiratory frequency became normal. The control group didn't see the improvement of PaO 2、 PaCO 2 and SaO 2% until after 10～14 days.Conclusion Noninvasive positive pressure ventilation in the treatment of COPD with type II respiratory failure is effective. It can also assuage patient affliction, reduce trachea intubate or trachea incision, reduce patient medical expenditure and improve patient's life quality.
出处
《临床肺科杂志》
2004年第4期313-315,共3页
Journal of Clinical Pulmonary Medicine
关键词
慢性阻塞性肺病
呼吸衰竭
无创正压通气
Chronic obstructive pneumonia disease Respiratory failure Non invasive positive pressure ventilation
