摘要
目的:探讨双水平无创正压呼吸机治疗OSAS合并COPD的疗效。方法:收治OSAS合并COPD患者32例,均采用无创正压呼吸机治疗,根据呼吸机应用的不同分为治疗组16例与对照组16例,治疗组采用双水平无创正压呼吸机治疗,对照组采用单水平无创正压呼吸机治疗,观察治疗效果。结果:两组所有患者都痊愈出院,无明显不良反应,均自觉晨起头痛、口干症状有缓解,精神状态改善。两组各项指标均有明显改善,但是治疗组的改善程度明显好于对照组(P<0.05),治疗组AHI、睡眠时间和SpO2指数在治疗后已经接近或达到正常水平。结论:双水平无创正压呼吸机治疗OSAS合并COPD有良好效果,能改善症状,血气和肺功能指标。
Objective：To explore effect of bi-level non-invasive positive pressure respirator in treating OSAS and COPD.Methods：Totally 32 OSAS and COPD patients hospitalized by us from Feb.2008 to Oct.2011 equally fell into Treatment Group and Control Group（each 16 cases） according to differences of respirator application.All the patients were taken with non-invasive positive pressure respirator.The treatment group was treated by bi-level non-invasive positive pressure respirator,and the control group by uni-level non-invasive positive pressure respirator to observe both effects.Results：Both Groups left the hospital after complete recovery without remarkable adverse reaction.Both felt less headache and dryness and got higher spirits.Various indexes of them showed remarkable improvement,but Treatment Group with a clearly better condition（P 0.05）.AHI,sleep time and SpO 2 had been close to or reached normal levels.Conclusion：It is good to treat OSAS and COPD by bi-level non-invasive positive pressure respirator.The good effect is reflected in improvements of symptoms,blood gas and pulmonary function indexes.So,its application is worth promoting.
