早期长时间应用无创呼吸机治疗COPD合并呼吸衰竭疗效分析

Effect analysis of early prolonged application of noninvasive mechanical ventilation for COPD patients with type Ⅱ respiratory failure

目的观察早期长时间应用无创机械通气对COPD急性加重合并Ⅱ型呼吸衰竭患者的影响。方法选取早期长时间应用无创呼吸机治疗的COPD急性加重期合并呼吸衰竭患者37例,与短时间使用无创机械通气的患者37例做生命体征、动脉血气、血氧饱和度及平均住院日的比较。结果治疗组血氧状态明显优于对照组,血氧饱和度明显高于对照组,平均住院日较对照组明显缩短,P<0.05,差异有统计学意义。结论早期无创机械通气治疗能显著改善患者血氧状态,缩短患者住院日,值得临床推广应用。

Objective To observe the impact of early prolonged application of noninvasive mechanical ventilation for acute exacerbations of COPD patients with type II respiratory failure. Methods To select 37 cases of acute exacerbation of COPD combined with respiratory failure for early prolonged application of noninvasive ventilation therapy, with 37 cases of short-term use of noninvasive mechanical ventilation to do vital signs, arterial blood gases, oxygen saturation and average length of stay comparison. Results State oxygen therapy group than the control group, oxygen saturation was significantly higher than the average length of stay was significantly shorter than the control group, P〈0.05, the difference was statistically significant. Conclusion Early non-invasive mechanical ventilation therapy can significantly improve patients’oxygen status and shorten hospitalization days, worthy of clinical application.