CAJ | 학술논문

目的探讨双水平气道正压通气(BiPAP)结合振动排痰在慢性阻塞性肺疾病急性加重期(AECOPD)并Ⅱ型呼吸衰竭的临床应用价值.方法 30例AECOPD患者随机分为对照组和联合组,对照组予双水平气道正压通气辅助呼吸治疗;联合组在对照组治疗基础上联合振动排痰.结果两组患者治疗后的HR、RR、pH、PaO2、PACO2有明显改善,有统计学意义(P＜0.01).治疗1天后,联合组有8例患者的PaCO2降至50mmHg以下,对照组无一例;治疗3天后,联合组有10例患者PaCO2降至50 mmHg以下,对照组有6例,联合组的例数仍较多,联合组的患者其HR、RR、pH、PaO2、PaCO2的改善显著优于对照组(P＜0.05).结论双水平气道正压通气结合振动排痰治疗慢性阻塞性肺疾病急性加重期并Ⅱ型呼吸衰竭患者疗效肯定,有临床应用价值.
목적 탐토쌍수평기도정압통기(BiPAP)결합진동배담재만성조새성폐질병급성가중기(AECOPD)병Ⅱ형호흡쇠갈적림상응용개치.방법 30례AECOPD환자수궤분위대조조화연합조,대조조여쌍수평기도정압통기보조호흡치료;연합조재대조조치료기출상연합 진동배담.결과량조환자치료후적HR、RR、pH、PaO2、PACO2유명현개선,유통계학의의(P＜0.01).치료1천후,연합조유8례환자적PaCO2강지50mmHg이하,대조조무일례;치료3천후,연합조유10례환자PaCO2강지50 mmHg이하,대조조유6례,연합조적례수잉교다,연합조적환자기HR、RR、pH、PaO2、PaCO2적개선현저우우대조조(P＜0.05).결론 쌍수평기도정압통기결합진동배담치료만성조새성폐질병급성가중기병Ⅱ형호흡쇠갈환자료효긍정,유림상응용개치.
Objective To explore the values of bilevel positive airway pressure ventilation (BiPAP)combined with vibrating sputum-ejection for acute exacerbation of chronic obstructive pulmonary disease(AECOPD)with type Ⅱ respiratory failure.Methods 30 patients were randomly assigned to receive BiPAP alone(control group),or BiPAP plus vibrating sputum-ejection(combination group).Results HR,RR,pH,PaO2,and PaCO2 were obviously improved in the two groups after treatment,with statistical significances(P＜0.01). PaCO2 decreased below 50 mmHg in 8 patients in the combination group ore clay after treatment while stayed still in the control group; and it dropped below 50 mmHg in 10 patients in the combination group three days after treatment but stayed unchanged in 6 patients in the control group.the improvement of HR,RR,pH,PaO2,and PaCO2 in the combination group was obviously superior to that in the control group(P＜0.05).Conclusions Bilevel positive airway pressure ventilation combined with vibrating sputum-ejection is more effeetive in the treatment of acute exacerbation of chronic obstructive pulmonary disease with type Ⅱ respiratory failure and has a value of clinical application.