期刊文献+

家庭无创辅助通气对慢性阻塞性肺疾病患者肺功能的影响 被引量:3

Effect of non-invasive assisted ventilation at home on the lung function in patients with chronic obstructive pulmonary disease
下载PDF
导出
摘要 目的探讨稳定期慢性阻塞性肺疾病(COPD)患者家庭无创辅助通气治疗对患者肺功能及血气分析的影响。方法研究纳入稳定期COPD患者29例,其中治疗组16人,对照组13人。治疗组采用间断家庭无创辅助通气治疗,每日呼吸机使用时间>6 h。结果与对照组相比,治疗组患者6个月后的肺功能及血气分析指标均有明显改善。结论家庭无创辅助通气治疗能够改善稳定期COPD患者的肺功能及血气分析指标,改善日常症状。 Objective To investigate the effect of non-invasive assisted ventilation(NIAV) at home on the lung function and blood gas analysis in patients with chronic obstructive pulmonary disease(COPD) in the stable phase.Methods 29 COPD patients in the stable phase were spontaneously divided into the treatment group(n=16) and the control group(n=13).All the patients in the treatment group underwent intermittent NIAV therapy at home,with the duration of their daily use of the ventilator over 6 hours.Result In contrast with the control group,the lung function and blood gas analysis of the treatment group were evidently improved at the end of 6 months of therapy.Conclusion The treatment of home NIAV can improve the parameters of lung function and blood gas analysis as well as the daily symptoms in COPD patients in the stable phase.
作者 倪春华
出处 《徐州医学院学报》 CAS 2010年第7期442-443,共2页 Acta Academiae Medicinae Xuzhou
关键词 慢性阻塞性肺疾病 肺功能 无创辅助通气 chronic obstructive pulmonary disease lung function non-invasive assisted ventilation
  • 相关文献

参考文献4

二级参考文献24

  • 1马壮,槐永军,张志远,陈萍.无创通气在慢性阻塞性肺疾病急性发作期伴呼吸衰竭治疗中的应用[J].中华急诊医学杂志,2005,14(1):30-32. 被引量:39
  • 2有创-无创序贯机械通气多中心研究协作组.以肺部感染控制窗为切换点行有创与无创序贯机械通气治疗慢性阻塞性肺疾病所致严重呼吸衰竭的随机对照研究[J].中华结核和呼吸杂志,2006,29(1):14-18. 被引量:279
  • 3张永昶 钟南山.面罩压力支持辅助通气对COPD稳定期患者的康复作用[J].中华结核和呼吸杂志,1994,17:69-73.
  • 4Masip J, Betbese AJ, Paez J, et al. Non-invasive pressure support ventilation versus conventional oxygen therapy in acute cardiogenic pulmonary oedema: a randomised trial. Lancet, 2000, 356: 2126-2132.
  • 5Hilbert G, Gruson D, Gbikpi-Benissan G. et al. Sequential use of noninvasive pressure support ventilation for acute exacerbations of COPD. Intensive Care Med, 1997, 23: 955-61.
  • 6Antonelli M, Conti G, Rocco M, et al. A comparison of noninvasive positive-pressure ventilation and conventional mechanical ventilation in patients with acute respiratory failure. N Engl J Med,1998, 339: 429-35.
  • 7Plant PK, Elliott MW. Non-invasive ventilation in acute exacerbations of COPD. QJM, 1998,91: 657-660.
  • 8陈新谦 金有豫.新编药物学第14版[M].北京:人民卫生出版社,2001.588,592.
  • 9GOLD Executive Committee[DB/OL].Guidelines:Global Strategy for Diagnosis,Management,and Prevention of COPD,November 2006[2006-11-18].http://www.goldcopd.com/Guidelineitem.asp? l1 =2-12 = 1&intId =989.
  • 10Celli BR,MacNee W,Committee members.Standard for the diagnosis and treatment of patients with COPD:a summary of the ATS/ERS position paper.Eur Respir J,2004,23:932-946.

共引文献8301

同被引文献44

  • 1慢性阻塞性肺疾病诊治指南(2007年修订版)[J].中华结核和呼吸杂志,2007,30(1):8-17. 被引量:8232
  • 2朱广卿.慢性阻塞性肺疾病合并慢性呼吸衰竭患者实施家庭无创通气的意义[J].国际呼吸杂志,2007,27(3):174-176. 被引量:23
  • 3叶任高,钟南山.内科学.7版.北京:人民卫生出版社,2008:43.
  • 4Pauwels RA, Buist AS, Calverley PM, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. NHLBI/WHO Global Initiative for Chronic Obstructive Lung Disease (GOLD) Workshop summary. Am J Respir Crit Care Med, 2001,163(5 ) : 1256-1276.
  • 5Celli BR, MacNee W. Standards for the diagnosis and treatment of patients with COPD: a summary of the ATS/ERS position paper. Eur Respir J, 2004,23(6) : 932-946.
  • 6Blankenburg T, Roloff D, Schi/dlich S, et al. Hypercapnic failure in patients with COPD under 4 weeks non-invasive, home mechanical ventilation. Pneumologie, 2008,62(3) : 126-131.
  • 7Ward NS, Dushay KM. Clinical concise review: Mechanical ventilation of patients with chronic obstructive pulmonary disease. Crit Care Med, 2008,36(5): 1614-1619.
  • 8Chapman KR,Mannino DM,Soriano JB,et al.Epidemiology and costs of chronic obstruetive pulmonary disease[J].Eur Respir J,2006,27:188-207.
  • 9Corner E,Garrod R.Does the addition of non-invasive ventilation during pulmonary rehabilitation in patients with chronic obstructive pulmonary disease augment patient outcome in exercise tolerance? A literature review[J].Physiother Res Int,2010,15(1):5-15.
  • 10Thibout Y,Philit F,Freymond N,et al.Outcome in COPD patients treated with at-home,long-term,non-invasive ventilation[J].Rev Mal Respir,2006,23(5):438-444.

引证文献3

二级引证文献42

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部