无创呼吸机治疗慢性阻塞性肺疾病合并呼吸衰竭的临床疗效探讨

Clinical efficacy of noninvasive ventilator in the treatment of chronic obstructive pulmonary disease combined with respiratory failure

目的:探讨无创呼吸机治疗慢性阻塞性肺疾病合并呼吸衰竭的临床疗效。方法:收治慢性阻塞性肺疾病患者50例,随机分为试验组和对照组。对照组采用常规治疗,试验组在常规治疗基础上加用无创呼吸机治疗,比较两组心率(HR)、酸碱度(pH)、动脉二氧化碳分压(PaCO_2)、平均动脉血氧分压(PaO_2)、动脉血氧饱和度(SaO_2)、气管插管率、死亡率及临床有效率。结果:试验组患者的HR、pH、PaCO_2、PaO_2、SaO_2、临床治疗有效率均优于对照组(P<0.05),试验组患者的气管插管率和死亡率均低于对照组(P<0.05)。结论:利用无创呼吸机治疗慢性阻塞性肺疾病合并呼吸衰竭患者临床效果较好。

Objective:To explore the clinical efficacy of noninvasive ventilator in the treatment of chronic obstructive pulmonary disease combined with respiratory failure.Methods:50patients with chronic obstructive pulmonary disease were selected,they were randomly divided into the experimental group and the control group.The control group was treated with conventional therapy,the experimental group was treated with noninvasive ventilator on the basis of conventional therapy,we compared heart rate(HR),pH,arterial partial pressure of carbon dioxide(PaCO2),mean arterial partial pressure of oxygen(PaO2),arterial oxygen saturation(SaO2),tracheal intubation rate,mortality,and clinical efficacy of the two groups.Results:In the experimental group,HR,pH,PaCO2,PaO2,SaO2,clinical treatment efficiency were better than the control group(P<0.05).Conclusion:The clinical efficacy of noninvasive ventilator in the treatment of chronic obstructive pulmonary disease combined with respiratory failure was better.