CAJ | 학술논문

目的：比较无创呼吸机早期治疗和延迟治疗在慢性阻塞性肺疾病（COPD）急性发作患者治疗中的价值。方法选取我院收治的 COPD 急性发作患者80例，按照数字随机法，将其随机分成早期组和延迟组，早期组采取无创呼吸机早期治疗，延迟组采取无创呼吸机延迟治疗，比较两组在 COPD 急性发作患者治疗中的价值。结果两组治疗后 HR、RR、MBP、PaCO2指标均降低，PaO2升高，差异有统计学意义（ P ﹤0.05）。早期组 HR、RR、MBP、PaCO2指标均低于延迟组，PaO2则高于延迟组，差异有统计学意义（P ﹤0.05）。早期组好转率高于延迟组，差异有统计学意义（P ﹤0.05）。早期组住院时间短于延迟组，差异有统计学意义（P ﹤0.05）。结论无创呼吸机应早期应用，可产生更佳的辅助治疗效果，帮助缓解临床症状，有利于患者好转。
목적：비교무창호흡궤조기치료화연지치료재만성조새성폐질병（COPD）급성발작환자치료중적개치。방법선취아원수치적 COPD 급성발작환자80례，안조수자수궤법，장기수궤분성조기조화연지조，조기조채취무창호흡궤조기치료，연지조채취무창호흡궤연지치료，비교량조재 COPD 급성발작환자치료중적개치。결과량조치료후 HR、RR、MBP、PaCO2지표균강저，PaO2승고，차이유통계학의의（ P ﹤0.05）。조기조 HR、RR、MBP、PaCO2지표균저우연지조，PaO2칙고우연지조，차이유통계학의의（P ﹤0.05）。조기조호전솔고우연지조，차이유통계학의의（P ﹤0.05）。조기조주원시간단우연지조，차이유통계학의의（P ﹤0.05）。결론무창호흡궤응조기응용，가산생경가적보조치료효과，방조완해림상증상，유리우환자호전。
Objective:To investigate clinical value of early treatment and delayed treatment of non-invasive ventilator in patients with acute exacerbation of COPD. Methods:Eighty patients with acute exacerbation of COPD in our hospital were divided into the early grouptreated by early treatment of non - invasive ventilation,and the delayed grouptreated by delayed treatment of non-invasive ventilator. The clinical treatment values of two groups were compared. Results:After treatment, the HR,RR,MBP and PaCO2 indicators were lower and PaO2 was higher than those before treatment(P ﹤ 0. 05). Im-provement rate of the early group was better than that of the delay group(P ﹤ 0. 05). The hospitalization time was shorter than that of the delay group(P ﹤ 0. 05 ). Conclusion:Early non-invasive ventilation should be applied,which can produce a better effect of adjuvant therapy,help relieve symptoms.