慢性阻塞性肺疾病合并呼吸衰竭呼吸内科治疗临床观察

Clinical Observation of Respiratory Medicine for Chronic Obstructive Pulmonary Disease with Respiratory Failure

目的分析与探讨慢性阻塞性肺疾病合并呼吸衰竭呼吸内科治疗临床效果。方法随机选择2016年12月至2017年12月在我院就诊的70例慢性阻塞性肺疾病合并呼吸衰竭患者作为研究对象,并将其平均分为对照组与研究组两组,其中对照组实施常规治疗,研究组则是在对照组的基础上增加使用无创呼吸机辅助通气。并对比治疗后两组患者的治疗效果以及其血气结果。结果研究组治疗总有效率明显高于对照组,且研究组患者的组p H值、PaCO_2比对照组显著降低;研究组PaCO_2、SaO_2比对照组显著提高,且具有统计学意义。结论在临床治疗慢性阻塞性肺疾病合并呼吸衰竭患者时,在常规的基础上增加无创呼吸机的治疗能够提高治疗效果,帮助患者有效回复各项生理指标,值得在临床上广泛应用。

Objective To analyze and discuss clinical effect of respiratory medicine for chronic obstructive pulmonary disease with respiratory failure. Methods Choose 70 cases chronic obstructive pulmonary disease patients（COPD） with respiratory failure in our hospital from December 2016 to December 2017 randomly as study objects, divide them into control and study group（two groups） in average. Control group was treated with routine treatment, and study group with non-invasive ventilator assisted ventilation on the basis of control group. Compare curative effect and blood gas results of two groups after treatment. Results Total effective rate of study group was significantly higher than control group, p H and PCO2 of study group was significantly lower than control group, and PO2 and SO2 of study group was significantly higher than control group, with statistical significance. Conclusion Non invasive ventilator treatment on the basis of routine treatment can improve curative effect on patients with chronic obstructive pulmonary disease and respiratory failure, and help them to recover various physiological indexes effectively, which is worthy of promotion and application in clinical practice.