无创通气治疗慢性COPD伴呼吸衰竭患者226例

Efficacy of non-invasive ventilation in treatment of chronic obstructive pulmonary disease with acute exacerbation of respiratory failure 226 cases

目的探讨慢性阻塞性肺疾病急性加重期(AECOPD)与呼吸衰竭合并发生采用无创机械通气治疗临床效果。方法本次选取226例AECOPD合并呼吸衰竭患者,其中126例采用无创机械通气治疗,100例应用常规方案治疗,回顾临床资料。结果观察组有效率为95.2%,对照组为72%,差异有统计学意义(P<0.05)。结论AECOPD合并呼吸衰竭,采用无创正压通气治疗,临床疗效较理想,故值得临床推广应用。

Objective To explore the treatment of clinical effect of chronic obstructive pulmonary disease with acute exacerbation （AECOPD） and respiratory failure complicated by the occurrence of non -invasive mechanical ventilation. Methods The selected 226 cases of AECOPD patients with respiratory failure, both my hospital department from August 2013 to August 2014 were treated,including 126 cases of non -invasive mechanical ventilation in the treatment of 100 patients were treated with conventional regimens, analyzed the clinical data. Results The efficiency in observation group was 95.2%, in the control group was 72%, the difference was statistically significant （ P 〈 0.05 ）. Conclusion AECOPD with respiratory failure, the use of noninvasive positive pressure ventilation in the treatment,the clinical efficacy of an ideal, it is worthy of clinical application.