无创通气治疗慢性阻塞性肺病急性加重疗效的影响因素

Factors influencing the therapeutic effect of noninvasive ventilation on acute exacerbation of COPD

目的:探讨无创通气治疗慢性阻塞性肺病急性加重疗效的影响因素。方法:2018年1月-2019年5月收治慢性阻塞性肺病处于急性加重期患者60例,分为两组,各30例。对照组接受常规治疗;研究组接受无创通气治疗。比较两组APACHEⅡ评分、GCS评分、PaO2、PaCO2。结果:研究组APACHEⅡ评分、GCS评分、PaCO2高于对照组,研究组PaO2低于对照组,差异均有统计学意义(P<0.05)。结论:对无创通气治疗慢性阻塞性肺病急性加重疗效的影响因素进行有效分析,并对其进行干预,可有效降低影响因素对患者疗效的影响,改善患者的各项指标。

Objective:To explore the influence factors of noninvasive ventilation in the treatment of acute exacerbation of COPD.Methods:60 patients with acute exacerbation of COPD were selected from January 2018 to May 2019,they were divided into the two groups with 30 cases in each group.The control group received routine treatment,the study group received noninvasive ventilation.The ApacheⅡscore,GCS score,PaO2 and PaCO2 of the two groups were compared.Results:The ApacheⅡscore,GCS score and PaCO2 of the study group were higher than those of the control group,and the PaO2 of the study group was lower than that of the control group,the differences were statistically significant(P<0.05).Conclusion:The effective analysis of the factors affecting the efficacy of non-invasive ventilation in the treatment of acute exacerbation of chronic obstructive pulmonary disease and its intervention can effectively reduce the influence of influencing factors on the efficacy of patients and improve the indexes of patients.