摘要
目的探讨老年漫性呼吸衰竭急性加重时的无创伤通气疗法。方法随机将住院患者分为A、B两组。A组单独采用BiPAP经两罩辅助压力支持通气，B组除进行辅助压力支持通气外，同时利用氧气做动力，利用射流式雾化品吸入喘乐宁。结果两组均可使动脉血之分析、肺功能及临床症状得到明显改善，但B组改善程度更为明显（P＜0.05、P＜0．01），改善时间提前．维持时间长，且无心悸，手颤等不良反应。结论喘乐宁经BiPAP吸入完全，可明显改善通气功能，早期应用可减少气管插管及切开的机会。
Objective To study non-injury ventilating methods for the treatment of elderly patients with chronic respiratoryfailure during its period of acute seizure. Methods Hospitalized patients were randomly divided into two groups. Group A wascured by pressure supported ventilator (PSV) by using ventilator BiPAP through face mask. In addition to the above mentionedmethod, Group B inhalated Subtomal by the use of jet flow atomizer powered by oxygen. Results Both groups improved theirblood gas analysis index, pulmonary functionindex and clinical symptoms. The overall effect of Group B was much better thangroup A with statistical significance (P < 0. 05, P < 0. 01 ). Group B enjoyed quicker improvement and longer maintenancewithout such side effort as cardio palmus or hand vibration. ConcIusion Sublomal can be ahsorbed comp1etely through BiPAPand evidenily improve the ventilating funclion. To be used during the carly period, it can reduce the possibility of operation ofintraracheal intubation and tracheotomy.
出处
《中国综合临床》
2000年第2期143-144,共2页
Clinical Medicine of China
