无创通气对慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者疗效分析

Curative effect analysis of noninvasive ventilation in patients with chronic obstructive pulmonary disease complicated with typeⅡ respiratory failure

目的:研究无创通气治疗慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭的临床效果。方法:2018年5月-2019年5月收治慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者56例,随机分为两组,各28例。参照组进行常规治疗,试验组采用无创通气治疗。比较两组治疗效果。结果:两组治疗后用力肺活量(FVC)、1 s用力呼吸容积(FEV1)、FEV1占预计值的百分比(FEV1/FVC)等指标水平均优于治疗前,差异有统计学意义(P<0.05)。试验组治疗后临床总有效率、FVC、FEV1、FEV1/FVC等指标水平均优于参照组,差异有统计学意义(P<0.05)。结论:无创通气治疗慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭疗效显著,可改善患者肺功能指标水平。

Objective:To study the clinical effect of noninvasive ventilation in the treatment of chronic obstructive pulmonary disease complicated with typeⅡrespiratory failure.Methods:From May 2018 to May 2019,56 patients with chronic obstructive pulmonary disease complicated with typeⅡrespiratory failure were enrolled,they were randomly divided into two groups of 28 cases each.The control group performed conventional treatment,the experimental group performed noninvasive ventilation treatment.The treatment effects between the two groups were compared.Results:The index levels of FVC、FEV1,FEV1/FVC and other indexes levels in both groups after treatment were better than before treatment,the differences were statistically significant(P<0.05).The clinical total effective rate,FVC、FEV1、FEV1/FVC and other index levels in experimental group were superior to the control group after the treatment,the differences were statistically significant(P<0.05).Conclusion:Noninvasive ventilation is effective in the treatment of chronic obstructive pulmonary disease with typeⅡrespiratory failure,it can improve the function index levels of lung function in patients.