CAJ | 학술논문

目的：本文旨在观察不同的序贯通气治疗方案对于患者的血流动力学、肺通气功能和机械通气的治疗效果。方法：选取2009年5月~2012年7月在我院治疗的COPD患者89例，将89例患者随机分为两组，分别采用有创-无创和无创-有创两种不同的通气方式。结果：有创-无创序贯治疗组对于患者的血流动力学影响较无创-有创序贯治疗组的患者小，肺通气功能改善明显，机械通气时间、住院时间和呼吸道感染的发生情况均要少于无创-有创序贯治疗组(P<0.05)。结论：COPD合并Ⅱ型呼吸衰竭采用有创-无创序贯治疗效果较好。
목적：본문지재관찰불동적서관통기치료방안대우환자적혈류동역학、폐통기공능화궤계통기적치료효과。방법：선취2009년5월~2012년7월재아원치료적COPD환자89례，장89례환자수궤분위량조，분별채용유창-무창화무창-유창량충불동적통기방식。결과：유창-무창서관치료조대우환자적혈류동역학영향교무창-유창서관치료조적환자소，폐통기공능개선명현，궤계통기시간、주원시간화호흡도감염적발생정황균요소우무창-유창서관치료조(P<0.05)。결론：COPD합병Ⅱ형호흡쇠갈채용유창-무창서관치료효과교호。
Objective:To observe the effects of different ways of mechanical ventilation on the hemodynamics,pulmonary ventilation function,hospital stays and curative effect. Methods:Selecting 89 COPD patients in our hospital from March 2009 to March 2012,we divided the patients into 2 groups randomly, the 2 groups conducted invasive-noninvasive and noninvasive-invasive mechanical ventilation respectively.Results:Invasive-noninvasive mechanical ventilation has less effect on hemodynamics, it can improve pulmonary ventilation function more effectively than noninvasive-invasive mechanical ventilation , the length of mechanical ventilation, the hospital stays and morbidity of respiratory tract infection is less than noninvasive-invasive mechanical ventilation. Conclusion:The invasive-noninvasive mechanical ventilation is more effectively in the treatment of COPD than noninvasive-invasive mechanical ventilation.