摘要
目的:探讨鼻罩无创正压通气呼吸机辅助治疗慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭的临床疗效。方法:选取我院2006年7月-2009年9月收治的120例慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者的资料,随机分为双水平无创正压呼吸机辅助治疗组(60例,治疗组)和常规治疗组(60例,对照组),治疗组患者应用无创正压呼吸机辅助治疗,常规治疗组患者采用常规抗感染、吸氧、营养支持等基础治疗。结果:治疗组患者抢救成功55例,抢救成功率91.67%,对照组患者抢救成功49例,抢救成功率81.67%。结论:无创正压通气呼吸机辅助治疗慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭,临床疗效满意,实行有效、全面的护理是治疗成功的重要保证,值得在临床推广。
Objective: To investigate the nasal mask positive airway pressure mechanical ventilation, chronic obstructive pul- monary disease with respiratory failureⅡclinical efficacy. Methods: The hospital in July 2006 ~ September 2009 treated 120 patients with chronic obstructive pulmonary disease with respiratory failure in patients with type Ⅱ data were divided into hi-level positive pressure ventilator-assisted treatment group (60 cases, treatment group) and conventional treatment group (60 patients in the control group), treatment group, patients with noninvasive positive pressure ventilator-assisted therapy, conventional treatment group were treated with conventional antibiotics, oxygen, nutrition and other basic treatment. Results: The 55 cases of successful treatment of patients, the survival rate was 91.67% in the control group were 49 cases of successful treatment, the survival rate 81.67%. Conclusion: Noninvasive positive pressure ventilation mechanical ventilation in chronic obstructive pulmonary disease with respiratory failure Ⅱ clinical results were satis- factory, the implementation of effective and comprehensive care is an important guarantee of successful treatment, it is in the clinic.