国际呼吸杂志
國際呼吸雜誌
국제호흡잡지
INTERNATIONAL JOURNAL OF RESPIRATION
2008年
19期
1178-1181
,共4页
无创通气%双水平气道正压通气%慢性阻塞性肺疾病%呼吸衰竭
無創通氣%雙水平氣道正壓通氣%慢性阻塞性肺疾病%呼吸衰竭
무창통기%쌍수평기도정압통기%만성조새성폐질병%호흡쇠갈
Noninvasive ventilation%Bi-level positive airway pressure%Chronic obstructive pulmonarydisease%Respiratory failure
目的 探讨经面罩双水平气道正压通气(bi-level positive airway pressure,BiPAP)呼吸机治疗慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)合并Ⅱ型呼吸衰竭的疗效.方法 88例COPD并发Ⅱ型呼吸衰竭患者随机分为治疗组和对照组,两组均给予抗感染、解痉平喘、止咳祛痰、能量支持等常规治疗,对照组加低浓度氧疗,治疗组加面罩BiPAP呼吸机治疗.观察面罩舒适度、临床症状、血气分析、生命体征、肺功能、漏气情况及不良反应.结果 治疗组与对照组相比,治疗72 h后心率、呼吸频率、动脉血二氧化碳分压、pH值均明显下降,住院天数缩短.动脉血氧分压、动脉血氧饱和度、肺活量、用力肺活量及第1秒用力呼气容积明显上升,差异均具有统计学意义(P<0.01).治疗组总有效率86.4%(38/44)与对照组68.2%(30/44)相比差异有统计学意义(P<0.05).结论 COPD合并呼吸衰竭患者早期使用BiPAP呼吸机治疗,对肺功能、低氧血症和CO2潴留改善明显,疗效显著.
目的 探討經麵罩雙水平氣道正壓通氣(bi-level positive airway pressure,BiPAP)呼吸機治療慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)閤併Ⅱ型呼吸衰竭的療效.方法 88例COPD併髮Ⅱ型呼吸衰竭患者隨機分為治療組和對照組,兩組均給予抗感染、解痙平喘、止咳祛痰、能量支持等常規治療,對照組加低濃度氧療,治療組加麵罩BiPAP呼吸機治療.觀察麵罩舒適度、臨床癥狀、血氣分析、生命體徵、肺功能、漏氣情況及不良反應.結果 治療組與對照組相比,治療72 h後心率、呼吸頻率、動脈血二氧化碳分壓、pH值均明顯下降,住院天數縮短.動脈血氧分壓、動脈血氧飽和度、肺活量、用力肺活量及第1秒用力呼氣容積明顯上升,差異均具有統計學意義(P<0.01).治療組總有效率86.4%(38/44)與對照組68.2%(30/44)相比差異有統計學意義(P<0.05).結論 COPD閤併呼吸衰竭患者早期使用BiPAP呼吸機治療,對肺功能、低氧血癥和CO2潴留改善明顯,療效顯著.
목적 탐토경면조쌍수평기도정압통기(bi-level positive airway pressure,BiPAP)호흡궤치료만성조새성폐질병(chronic obstructive pulmonary disease,COPD)합병Ⅱ형호흡쇠갈적료효.방법 88례COPD병발Ⅱ형호흡쇠갈환자수궤분위치료조화대조조,량조균급여항감염、해경평천、지해거담、능량지지등상규치료,대조조가저농도양료,치료조가면조BiPAP호흡궤치료.관찰면조서괄도、림상증상、혈기분석、생명체정、폐공능、루기정황급불량반응.결과 치료조여대조조상비,치료72 h후심솔、호흡빈솔、동맥혈이양화탄분압、pH치균명현하강,주원천수축단.동맥혈양분압、동맥혈양포화도、폐활량、용력폐활량급제1초용력호기용적명현상승,차이균구유통계학의의(P<0.01).치료조총유효솔86.4%(38/44)여대조조68.2%(30/44)상비차이유통계학의의(P<0.05).결론 COPD합병호흡쇠갈환자조기사용BiPAP호흡궤치료,대폐공능、저양혈증화CO2저류개선명현,료효현저.
Objective To discuss the curative effect by mask bi-level positive airway pressure(BiPAP)ventilator for chronic obstructive pulmonary disease(COPD) complicating with type Ⅱ respiratory failure.Methods Eighty-eight patients of COPD complicating with type Ⅱ respiratory failure were randomlydivided into the comparison group and the treatment group,two groups were given the anti-inflammation,evenly breathes heavily,the spasmolysis, relieves a cough, the phlegm reduction conventional treatment andso on energy support. The comparison group was addsed the low concentration oxygen treatment, thetreatment group received mask BiPAP ventilator treatment. Mask comfort, clinical symptoms, blood gasanalysis, vital signs, lung function, air leakage situation and adverse reactions were observed. Results Thetreatment group and the comparison group compare, the treatment 72 after hour of heart rate, respiratoryrate,arterial partial pressure of carbon dioxide, pH obviously drop, is hospitalized the number of days toreduce,arterial partial pressure of oxygen, arterial oxygen saturation, vital capacity, forced vital capacity,forced expiratory volume in first second obvious rise, the difference has statistics significance(P<0.01).The treatment group total effectiveness 86.4 % (38/44) and the comparison group 68.2%(30/44) comparesthe difference to have statistics significance(P<0.05). Conclusions The COPD complicating with type Ⅱrespiratory failure patient early time uses the BiPAP ventilator treatment, to the lung function, the lowoxygen blood sickness and retention of CO2improves obviously,the curative effect is remarkable.
