无创正压通气治疗慢性阻塞性肺疾病并发呼吸衰竭的临床观察

The Clinical Observation of Non-invasive Positive Pressure Ventilation in the Treatment of Chronic Obstructive Pulmonary Disease Complicated with Respiratory Failure

目的:为了进一步研究和比较临床治疗慢性阻塞性肺疾病并发呼吸衰竭过程中采用无创正压通气治疗与传统治疗方法之间的临床疗效差异,从而为临床治疗慢性阻塞性肺疾病并发呼吸衰竭实践提供可靠依据。方法:本文选取了我院2010年1月-2012年1月期间收治的128例慢性阻塞性肺疾病并发呼吸衰竭患者为研究对象,针对患者采用不同治疗方法后的临床指标进行了比较研究。结果:两组患者采用不同治疗方法治疗2h和7d后,患者在呼吸、心率、PaO2、PaCO2等指标组间比较上,无创正压通气治疗组患者各项指标均优于常规治疗组患者,且P均<0.05,差异具有统计学意义。结论:在临床治疗慢性阻塞性肺疾病并发呼吸衰竭的临床实践过程中,与传统常规治疗方法相比较,采用无创正压通气治疗方法的临床治疗效果显著,是治疗慢性阻塞性肺疾病并发呼吸衰竭的可靠选择。

To further study and compare the differences of clinical efficacy for noninvasive treatment and traditional treatment methods of positive pressure ventilation in the treatment of chronic obstructive pulmonary disease with respiratory failure, so as to provide a reliable basis for clinical treatment of chronic obstructive pulmonary disease complicated with respiratory failure in practice. Methods： 128 patients with chronic obstructive pulmonary disease with respiratory failure in our hospital from January 2010 to January 2012 were chosen as the research object. According to the clinical indexes in patients with different treatment methods after treatment, they were taken for comparison and study. Results：2 hours and 7 days after different methods for the two group, the respiratory, heart rate, PaO2 ,PaCO2 and other indexes were compared between groups, the indicators for noninvasive positive pressure ventilation in the treatment group were better than the conventional treatment group, and P〈0. 05, the difference was statistically significant. Conclusion： In the clinical practice for the treatment of chronic obstructive pulmonary disease complicated with respiratory failure, compared with conventional treatment, the effect of using non-invasive positive pressure ventilation in the treatment is significant, and it is a reliable choice for the treatment of chronic obstructive pulmonary disease complicated with respiratory failure.