BiPAP呼吸机治疗COPD合并睡眠呼吸障碍的疗效分析

Therapeutic Effect of BiPAP Ventilator on COPD Combined with Sleep-disordered Breathing

目的分析和探讨BiPAP呼吸机治疗COPD合并睡眠呼吸障碍的疗效。方法随机选取该院于2016年1月—2017年12月收治的50例COPD合并睡眠呼吸障碍患者为该次研究对象,并对其采用BiPAP呼吸机进行治疗,观察和分析患者取得治疗效果。结果实施治疗后患者无论是心率,还是呼吸频次与治疗前相比较均得到明显改善,治疗后患者的心率为(80±3)次/min,呼吸频率为(18±3)次/min,差异有统计学意义(t=21.828 2、9.701 4,P=0.000 0、0.000 0),p H值、PO_2、PCO_2优于实施治疗前,分别为(7.1±0.1)、(8.6±1.3)k Pa、(7.3±1.1)k Pa(t=5.547 0、7.480 9、20.415 5,P=0.000 0、0.000 0、0.000 0)。结论将BiPAP呼吸机应用到COPD合并睡眠呼吸障碍治疗中,可以取得较好治疗效果,不仅可以有效改善患者出现的呼吸紊乱情况,还能够提高患者生活质量。

Objective To analyze and evaluate the efficacy of BiPAP ventilator in the treatment of COPD with sleep-disordered breathing.Methods 50 patients with COPD and sleep-disordered breathing admitted to our hospital from January 2016 to December 2017 were randomly selected and were treated with a BiPAP ventilator,to observe and analyze the patient's therapeutic effect.Results The heart rate and respiratory frequency of patients after treatment were significantly improved compared with those before treatment.After treatment,the heart rate was(80±3)times/min and the respiratory frequency was(18±3)times/min.The difference was statistically significant(t=21.828 2,9.701 4,P=0.000 0,0.000 0).The pH value,PO2 and PCO2 were better than those before treatment,respectively(7.1±0.1),(8.6±1.3)kPa and(7.3±1.1)kPa(t=5.547 0,7.480 9,20.415 5,P=0.000 0,0.000 0,0.000 0).Conclusion The application of BiPAP ventilator to COPD combined with sleep-disordered breathing can achieve better therapeutic effects,not only can effectively improve the respiratory disorder in patients,but also improve the quality of life of patients.