123例慢性阻塞性肺病合并呼吸衰竭机械通气治疗的临床分析

Explore the Result of Adopting the Breathing machine to Treat 123 Patients COPD with Respiratory Failure

目的:探讨呼吸机在治疗慢性阻塞性肺病合并呼吸衰竭的效果,减少慢性阻塞性肺病的病死率。方法:对1998年12月至2006年12月收治的165例慢性肺疾病合并呼吸衰竭病例,其中123例采用呼吸机治疗,42例未用呼吸机治疗,比较两组治疗效果。结果:123例用呼吸机患者缓解出院率72%,病死率28%。42例未用呼吸机组缓解出院率36%,病死率64%(P<0.01)。结论:呼吸机治疗慢性阻塞性肺病能改善通气,治疗呼吸衰竭、降低病死率。

Objective To explore the result of adopting the breathing machine to treat chronic obstructive pulmonary disease （COPD） with respiratory failure and reduce the death rate of COPD. Methods The 165 patients with COPD and respiratory failure treated from December of 1998 to December of 2006 were assigned to two groups to treat applying comparative analysis meantime. Results The rate of leaving hospital of 123 patients with COPD adopted the breathing machine to treat is 72% and the death rate is 28% . But the rate of leaving hospital of 42 patients with COPD who had not been adopted is 36% and the death rate is 64% （P 〈 0.01 ）. Conclusion Adopting the breathing machine to treat COPD can relieve dyspnea, treat respiratory failure and reduce the death rate.