无创呼吸机在治疗老年AECOPD合并呼吸衰竭中的临床效果

Clinical effect of non-invasive ventilator in the treatment of elderly AECOPD with respiratory failure

目的:探讨无创呼吸机在治疗老年AECOPD合并呼吸衰竭中的临床疗效。方法:2019年6月-2020年6月收治慢性阻塞性肺疾病急性加重期患者80例作为研究对象,通过随机数字表法分为两组,各40例。对照组采用常规治疗;研究组在常规治疗基础上使用无创呼吸机治疗。比较两组血气分析指标水平和治疗效果。结果:研究组动脉血氧分压(SaO2)、经皮血氧饱和度(PaO2)和二氧化碳分压(PaCO2)等血气分析指标水平均明显优于对照组,差异有统计学意义(P<0.05);研究组治疗总有效率明显高于对照组,差异有统计学意义(P<0.05)。结论:老年AECOPD合并呼吸衰竭患者应在呼吸道抗感染治疗、水电解质平衡治疗及支气管扩张剂等常规治疗基础上加用无创呼吸机治疗,利于患者病症的恢复,患者呼吸更平稳,建议推广应用。

Objective:To explore the clinical effect of non-invasive ventilator in the treatment of elderly AECOPD with respiratory failure.Methods:From June 2019 to June 2020,80 patients with acute exacerbation of chronic obstructive pulmonary disease were admitted as the research objects,and they were divided into two groups by random number table method,with 40 cases in each.The control group received conventional treatment;the study group used non-invasive ventilator treatment on the basis of conventional treatment.The blood gas analysis index levels and treatment effects of the two groups were compared.Results:The blood gas analysis indexes such as arterial partial pressure of oxygen(SaO2),transcutaneous oxygen saturation(PaO2)and partial pressure of carbon dioxide(PaCO2)in the study group were significantly better than those in the control group,and the difference was statistically significant(P<0.05));The total effective rate of treatment in the study group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Elderly AECOPD patients with respiratory failure should be treated with non-invasive ventilator in addition to conventional treatments such as respiratory tract anti-infective therapy,water-electrolyte balance therapy,and bronchodilator,which is beneficial to the recovery of the patient's symptoms and the patient's breathing is more stable.It is recommended to promote and apply.