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双水平正压通气治疗对伴有高碳酸血症呼吸衰竭COPD患者心率变异性的影响 被引量：7

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摘要 目的探讨双水平正压通气治疗对伴有高碳酸血症呼吸衰竭的慢性阻塞性肺疾病(COPD)患者心脏自律功能的急性效应。方法选择68例患者,分析心率变异性包括时域指标和频域指标。Pear-son相关分析用于双水平正压通气中心率变异性和动脉血气指标间的相关性分析。结果心率变异性在双水平正压通气中高频为35(17～63)ms2,高于通气前的26(9～47)ms2,差异有统计学意义(P=0.037)。相邻的正常-正常区间差异>50ms所占比例在通气中为57%(17%～108%),高于通气前的41%(8%～91%),差异有统计学意义(P=0.027)。结论在伴有高碳酸血症呼吸衰竭的COPD患者中,双水平正压通气可改善其心率变异性。
作者 杨昆 孙磊 王锋 董军红 洪欣 杨秀娜 王建立
机构地区 河北省石家庄市第三医院呼吸内科
出处 《河北医药》 CAS 2012年第8期1176-1178,共3页 Hebei Medical Journal
关键词 双水平正压通气 心率 变异 肺疾病 慢性阻塞性 高碳酸血症 呼吸功能不全
分类号 R563 [医药卫生—呼吸系统]
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参考文献23

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二级参考文献19

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共引文献615

同被引文献54

引证文献7

二级引证文献84

河北医药
2012年 第8期

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