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夜间无创正压通气对COPD患者肺功能及生活质量的影响 被引量：3

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摘要 目的研究夜间无创正压通气(NIPPV)对Ⅲ～Ⅳ级稳定期慢性阻塞性肺疾病(COPD)患者肺功能及生活质量的影响。方法将30例Ⅲ～Ⅳ级稳定期COPD患者随机分为实验组和对照组。实验组采用夜间双水平无创正压通气(BiPAP)治疗+氧疗,对照组单纯夜间氧疗,治疗8周。研究对象在治疗前及治疗4周后、8周后测定肺功能、呼吸困难指数、圣.乔治呼吸问卷(SGRQ)等项目。结果共有27例患者完成本研究,其中实验组14例,对照组13例。①实验组治疗8周后第一秒用力呼气容积(FEV1)、FEV1%明显增加。②实验组治疗后呼吸困难明显改善。③实验组治疗4周后、8周后SGRQ总评分分别改善-7.83分、-9.74分,明显优于对照组。结论对Ⅲ、Ⅳ级稳定期COPD患者,夜间NIPPV治疗可改善患者呼吸困难及生活质量,并有可能改善肺功能,疗效明显优于夜间单纯氧疗。
作者 陈学远 刘维群 龙学明 黄美杏 韦海燕
机构地区 广西南宁市广西中医学院附属瑞康医院呼吸内科 广西中医学院附属瑞康医院营养科
出处 《临床肺科杂志》 2008年第6期772-773,共2页 Journal of Clinical Pulmonary Medicine
关键词 夜间无刨正压通气 慢性阻塞性肺疾病 COPD患者 治疗方法
分类号 R563.9 [医药卫生—呼吸系统]
  • 相关文献

参考文献5

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二级参考文献16

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共引文献8240

同被引文献35

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引证文献3

二级引证文献9

临床肺科杂志
2008年 第6期

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