慢性肺心病急性加重期BiPAP通气效果的研究

目的研究与分析慢性肺心病急性加重期使用BiPAP无创呼吸机通气治疗的效果。方法选取本院2009年1月～2011年1月期间收治的慢性肺心病急性发作期导致呼吸衰竭的患者中32例,对其采用BiPAP无创呼吸机通气治疗,对比治疗前以及治疗后4h,24h的动脉血气值。结果 BiPAP无创呼吸机通气治疗后,32例患者在4h与24h时的平均PaCO2分别为(52.22±10.77)和(47.38±9.82),明显低于治疗前的(71.03±15.12),PaO2分别为(65.37±11.03)和(79.29±6.39),明显高于治疗前的(48.11±7.92),通过SPSS软件分析,差异性具有统计学意义。结论 BiPAP无创呼吸机治疗对于慢性肺心病急性加重期患者而言是最有效的通气方式,它能够快速的改善患者的临床症状,提高抢救的成功率,值得在临床上进行推广和应用。

Objective To study and analysis of acute exacerbation of chronic pulmonary heart disease using BiPAP noninvasive ventilator ventilation effect.Methods By the Institute in recent years were acute exacerbation of chronic pulmonary heart disease resulting in respiratory failure patients methods 32 cases,for its use of BiPAP noninvasive ventilator ventilation treatment,contrast before treatment and after treatment with 4h,24h arterial blood gas values.Results According to the treatment result shows,through the BiPAP noninvasive ventilator ventilation after treatment,32 patients in the 4h and 24h average PaCO2 was significantly lower than that before treatment,PaO2 were higher than those before treatment,through theSPSS software analysis,difference has statistical significance.Conclusion BiPAP noninvasive ventilation treatment for acute exacerbation of chronic pulmonary heart disease patients is the most effective way of ventilation,it can quickly improve clinical symptoms,improve the success rate of rescue,worthy of clinical promotion and application.