慢性阻塞性肺疾病缓解期患者家庭氧疗加用间断无创通气的疗效观察

目的：探讨家庭氧疗加用间断无创正压通气治疗慢性阻塞性肺疾病缓解期的疗效.方法：自2009年2月至2010年2月随访50例慢性阻塞性肺疾病缓解期患者,按照治疗方法的不同分为观察组和对照组,每组 25例,对照组采用常规氧疗,观察组在对照组基础上采用间断无创正压通气,比较两组患者治疗后的急性加重次数、住院次数、动脉血氧分压及动脉血氧饱和度.结果：观察组的急性加重次数、住院次数、动脉血氧分压及动脉血氧饱和度均较对照组有明显改善,P〈0.05.结论：家庭氧疗加用间断无创正压通气治疗可改善肺部气体交换,减少慢阻肺缓解期患者的急性加重,提高患者的生活质量.

objective to investigate family oxygen add with noninvasive positive pressure ventilation continuous treatment of chronic obstructive pulmonary disease remission curative effect. Methods from February 2009 to 2010 2 months of follow--up 50 cases of chronic obstructive pulmonary disease patients, according to the remission of different treatments not divided into trial group and control group, each group of 25 cases and control the conventional oxygen cure, the observation group in the control group by noninvasive based on continuous positive airway pressure, compared with two groups of patients after acute onset of treatment of deterioration, hospital number, number of arterial oxygen partial pressure and blood oxygen saturation. Results the observation group of acute onset of deterioration.