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慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者采用无创正压通气治疗的疗效观察 被引量:2

Clinical observation of chronic obstructive pulmonary disease combined with Type Ⅱ respiratory failure treated by noninvasive positive pressure ventilation therapy
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摘要 目的:探析无创正压通气治疗方案对慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者的临床效果.方法:选取2012-07/2015-05年河南省南阳市第二人民医院收治的慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者80例作为研究对象,根据治疗方案差异分为对照组(n=40)和观察组(n=40),对照组采用常规慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭治疗方案,观察组采用联合无创呼吸机治疗.对比两组患者临床救治效果.结果:记录对比两种治疗方案下患者酸碱度(pH)、氧分压(PaO_2)、二氧化碳分压(PaCO_2)等指标变化,观察组患者改善程度均明显优于对照组,差异有统计学意义(P<0.05).结论:对慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者除了常规药物和对症治疗外,联合无创正压通气方案临床应用效果更为突出,改善患者身体机能恢复,值得重视推广. AIM: To discuss the clinical effect of chronic obstructive pulmonary disease combined with Type Ⅱ respiratory failure treated by noninvasive positive pressure ventilation therapy.METHODS: A total of 80 cases of chronic obstructive pulmonary disease combined with Type Ⅱ respiratory failure admitted into the Second People's Hospital of Nanyang City were chosen as study objects and divided into control group( n = 40) and observation group( n = 40). The patients in the control group were given conventional therapy for chronic pulmonary disease combined with Type Ⅱ respiratory failure,while the patients in the observation group were treated with noninvasive positive pressure ventilation therapy. The clinical effects of both groups were compared.RESULTS: According to the records of all indicators of both groups,the pH,PaO_2,PaCO_2 in the observation group were better than those in the control group,with statistically significant differences( P0.05). CONCLUSION: As for chronic pulmonary disease combined with Type Ⅱ respiratory failure,in spite of the conventional therapy,noninvasive positive pressure ventilation therapy has shown a better effect in helping patients recover,as a result,worth promoting.
出处 《转化医学电子杂志》 2016年第8期39-40,共2页 E-Journal of Translational Medicine
关键词 慢性阻塞性肺疾病 呼吸衰竭 无创正压通气 chronic pulmonary disease respiratory failure noninvasive positive pressure ventilation
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