摘要
目的探讨有创与无创序贯机械通气治疗慢性阻塞性肺疾病(COPD)重症呼吸衰竭的疗效。方法接受气管插管和机械通气的患者44例,分为序贯治疗组和对照组进行研究。结果有创无创序贯治疗使呼吸频率明显下降、动脉收缩压降低、心率减缓、PSV水平降低以及PEEP降低,对改善呼吸肌疲劳和通气功能有一定意义。结论在临床工作中采用有创无创"序贯"机械通气治疗慢性阻塞性肺疾病合并呼吸衰竭能够比在PIC窗出现后仍按常规有创通气方法继续行机械通气具有更好的临床疗效。
Objective To investigate the sequential invasive and noninvasive mechanical ventilation in chronic obstructive pulmonary disease（COPD） with severe respiratory failure.Methods Accept endotracheal intubation and mechanical ventilation in 44 patients,divided into the sequential treatment group and control group for study.Results Sequential treatment of invasive non-invasive respiratory rate decreased significantly,lower systolic blood pressure,heart rate slow down,PSV and PEEP to reduce the level of reduction,to improve respiratory muscle fatigue and ventilatory function of some significance.Conclusions In clinical work the use of invasive non-invasive sequential mechanical ventilation in chronic obstructive pulmonary disease with respiratory failure can occur after the window than in the PIC based upon the conventional invasive ventilation method to mechanical ventilation with better clinical efficacy.
出处
《医药论坛杂志》
2011年第24期82-83,共2页
Journal of Medical Forum
关键词
慢性阻塞性肺疾病
呼吸衰竭
序贯机械通气
Chronic obstructive pulmonary disease
Respiratory failure
Mechanical ventilation sequential
