不同机械通气方式在治疗COPD的临床价值评测观察

Analysis of the Clinical Value of Different Ways of Mechanical Ventilation in the Treatment of COPD

目的：本文旨在观察不同的序贯通气治疗方案对于患者的血流动力学、肺通气功能和机械通气的治疗效果。方法：选取2009年5月-2012年7月在我院治疗的COPD患者89例，将89例患者随机分为两组，分别采用有创-无创和无创-有创两种不同的通气方式。结果：有创-无创序贯治疗组对于患者的血流动力学影响较无创-有创序贯治疗组的患者小，肺通气功能改善明显，机械通气时间、住院时间和呼吸道感染的发生情况均要少于无创-有创序贯治疗组（P〈0.05）。结论：COPD合并Ⅱ型呼吸衰竭采用有创-无创序贯治疗效果较好。

Objective：To observe the effects of different ways of mechanical ventilation on the hemodynamics,pulmonary ventilation function,hospital stays and curative effect. Methods：Selecting 89 COPD patients in our hospital from March 2009 to March 2012,we divided the patients into 2 groups randomly, the 2 groups conducted invasive-noninvasive and noninvasive-invasive mechanical ventilation respectively.Results：Invasive-noninvasive mechanical ventilation has less effect on hemodynamics, it can improve pulmonary ventilation function more effectively than noninvasive-invasive mechanical ventilation , the length of mechanical ventilation, the hospital stays and morbidity of respiratory tract infection is less than noninvasive-invasive mechanical ventilation. Conclusion：The invasive-noninvasive mechanical ventilation is more effectively in the treatment of COPD than noninvasive-invasive mechanical ventilation.