摘要
目的:探讨(鼻)面罩双水平气道正压通气(BiPAP)治疗慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭的治疗作用。方法:38例COPD急性加重期合并Ⅱ型呼吸衰竭患者应用BiPAP呼吸机辅助通气治疗,通过自身对照观察患者治疗前、后血气指标和病情改善程度。结果:经无创呼吸机通气3天后33例患者与治疗前比较PaO2明显升高,PaCO2,明显降低,pH、心率、呼吸频率明显改善,差异有统计学意义(P<0.01)。结论:应用BiPAP呼吸机辅助通气治疗COPD合并呼衰可提高PaO2,降低PaCO2,改善通气,值得临床推广应用。
Objective: To investigate the therapeutical effect of the (nasal) mask bi-level positive airway pressure (BiPAP) ventilator in the treatment of chronic obstructive pulmonary disease (COPD) with type Ⅱ respiratory failure. Methods: 38 patients with acute exacerbation of COPD combined with type Ⅱ respiratory failure were treated with BiPAP ventilator-assisted ventilation therapy, the changes of arterial gas analysis and physiological indexes before and after the treatment were evaluated. Results: Among 38 patients, PaO2 significantly higher, PaCO2 significantly lower,and pH, heart rate, respiratory rate significantly improved in 33 cases 3 days after the treatment (P〈0.01).Conclusion:BiPAP ventilator-assisted ventilation in the treatment of COPD combined with respiratory failure can improve PaO2, lower PaCO2, and improve ventilation, it is worthy to be popularized.
出处
《泸州医学院学报》
2009年第3期283-285,共3页
Journal of Luzhou Medical College
关键词
慢性阻塞性肺病
呼吸衰竭
无创正压机械通气
Chronic obstructive pulmonary disease
Respiratory failure
Non-invasive positive pressure ventilation