国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2010年
11期
1342-1344
,共3页
无创正压通气%COPD%急性加重期%呼吸衰竭
無創正壓通氣%COPD%急性加重期%呼吸衰竭
무창정압통기%COPD%급성가중기%호흡쇠갈
Noninvasive positive pressure ventilation%Chronic obstructive pulmonary disease%Acute exacerbation%Respiratory failur
目的 探讨无创正压治疗COPD急性加重期伴呼衰的临床疗效.方法 选择2007年1月-2009年12月收治于我院的COPD急性加重期伴呼衰患者92例.随机分为治疗组46例和对照组46例.对照组采用常规疗法治疗;治疗组在常规治疗的基础上加用无刨正压通气治疗,比较两组治疗效果.结果 经过治疗,治疗组PaCO2(89.26±9.27)mm Hg,PaO2(89.26±9.27)mm Hg,呼吸频率(21.2±1.3)次/分,治疗效果显著优于对照组(P<0.05).结论 无创正压通气治疗COPD急性加重期伴呼衰患者,能有效的降低PacO2、呼吸频率和提高PaO2等,具有较好的临床疗效.
目的 探討無創正壓治療COPD急性加重期伴呼衰的臨床療效.方法 選擇2007年1月-2009年12月收治于我院的COPD急性加重期伴呼衰患者92例.隨機分為治療組46例和對照組46例.對照組採用常規療法治療;治療組在常規治療的基礎上加用無鑤正壓通氣治療,比較兩組治療效果.結果 經過治療,治療組PaCO2(89.26±9.27)mm Hg,PaO2(89.26±9.27)mm Hg,呼吸頻率(21.2±1.3)次/分,治療效果顯著優于對照組(P<0.05).結論 無創正壓通氣治療COPD急性加重期伴呼衰患者,能有效的降低PacO2、呼吸頻率和提高PaO2等,具有較好的臨床療效.
목적 탐토무창정압치료COPD급성가중기반호쇠적림상료효.방법 선택2007년1월-2009년12월수치우아원적COPD급성가중기반호쇠환자92례.수궤분위치료조46례화대조조46례.대조조채용상규요법치료;치료조재상규치료적기출상가용무포정압통기치료,비교량조치료효과.결과 경과치료,치료조PaCO2(89.26±9.27)mm Hg,PaO2(89.26±9.27)mm Hg,호흡빈솔(21.2±1.3)차/분,치료효과현저우우대조조(P<0.05).결론 무창정압통기치료COPD급성가중기반호쇠환자,능유효적강저PacO2、호흡빈솔화제고PaO2등,구유교호적림상료효.
Objective To evaluate the efficacy of noninvasive positive pressure ventilation for respiratory failure secondary to acute exacerbations of COPD. Methods From January 2007 to December 2009, 92 patients were randomly assigned to receive conventional therapy alone (control group, 46 patients) or the same therapy plus noninvasive positive pressure ventilation (study group, 46 patients). The efficacy was compared between the two groups. Results After treatment, observe groups have better therapeutic efficacy than control groups in degrading PaCO2, degrading respiratory frequency, and elevating PaO2. Conclusions Noninvasive positive pressure ventilation for respiratory failure secondary to exacerbations of COPD can effectively decrease PaCO2 level and respiratory rate and increase PaO2 level. It has a better efficacy.
