河北医学
河北醫學
하북의학
HEBEI MEDICINE
2014年
7期
1124-1127
,共4页
双水平无创正压通气%煤工尘肺肺心病%肺功能异常
雙水平無創正壓通氣%煤工塵肺肺心病%肺功能異常
쌍수평무창정압통기%매공진폐폐심병%폐공능이상
Bilevel positive airway pressure%Pneumoconiosis combined with pulmonary heart dis-ease%Abnormal cardiopulmonary function
目的：研究双水平无创正压通气对肺心病病人异常心肺功能的治疗效果。方法：自2011年1月至2013年1月期间随机随访70例在我院治疗过的煤工尘肺肺心病病人，并分为两组，分别称为实验组和与之比较的对照组。对照组患者接受常规治疗肺心病的治疗方式来治疗；实验组患者在上述治疗的基础上，使用双水平正压通气来辅助治疗，观察并比较两组患者的治疗效果。结果：经治疗后，实验组患者的用力肺活量等表征心肺功能的指标值均比同指标下对照组要高；患者的动/静脉血氧饱和度等血气指标高于对照组；患者的心率等血流动力学参数低于对照组。治疗后组间比较P＜0．05，差异具有统计学意义。结论：双水平正压通气对肺心病患者异常心肺功能的治疗恢复具有积极的作用，值得临床广泛应用。
目的：研究雙水平無創正壓通氣對肺心病病人異常心肺功能的治療效果。方法：自2011年1月至2013年1月期間隨機隨訪70例在我院治療過的煤工塵肺肺心病病人，併分為兩組，分彆稱為實驗組和與之比較的對照組。對照組患者接受常規治療肺心病的治療方式來治療；實驗組患者在上述治療的基礎上，使用雙水平正壓通氣來輔助治療，觀察併比較兩組患者的治療效果。結果：經治療後，實驗組患者的用力肺活量等錶徵心肺功能的指標值均比同指標下對照組要高；患者的動/靜脈血氧飽和度等血氣指標高于對照組；患者的心率等血流動力學參數低于對照組。治療後組間比較P＜0．05，差異具有統計學意義。結論：雙水平正壓通氣對肺心病患者異常心肺功能的治療恢複具有積極的作用，值得臨床廣汎應用。
목적：연구쌍수평무창정압통기대폐심병병인이상심폐공능적치료효과。방법：자2011년1월지2013년1월기간수궤수방70례재아원치료과적매공진폐폐심병병인，병분위량조，분별칭위실험조화여지비교적대조조。대조조환자접수상규치료폐심병적치료방식래치료；실험조환자재상술치료적기출상，사용쌍수평정압통기래보조치료，관찰병비교량조환자적치료효과。결과：경치료후，실험조환자적용력폐활량등표정심폐공능적지표치균비동지표하대조조요고；환자적동/정맥혈양포화도등혈기지표고우대조조；환자적심솔등혈류동역학삼수저우대조조。치료후조간비교P＜0．05，차이구유통계학의의。결론：쌍수평정압통기대폐심병환자이상심폐공능적치료회복구유적겁적작용，치득림상엄범응용。
Objective:To investigate the effect of bilevel positive airway pressure for pulmonary heart disease ( PHD) patients whose cardiopulmonary function were abnormal .Method:From January 2011 to Jan-uary 2013 ,70 pneumoconiosis combined with pulmonary heart disease patients in our hosptial were selected and divided into experimental group and control group .Giving conventional treatment to the patients in control group,while treated the patients in experimental group by bilevel positive airway pressure based on conven-tional treatment .Monitoring and recording lung fuction ,blood gas index and hemodynamic parameters of the patients.Result:After treatment,the FVC and other indicators which characterizing patients ’ lung function in experimental group were higher than that of control group .The SaO2 ,SvO2 and other indicators which charac-terizing patients ’ blood gas index in experimental group patients were lower than those of control group .The HR and other indicators which characterizing patients ’ hemodynamic parameters in experimental group pa-tients were lower than those of control group .The results were statistically significance after treatment ,There's no statistically significance before treatment .Conclusion:It has a positive effects of bilevel positive airway pressure for patients with pneumoconiosis combined with pulmonary heart disease , and it is worthy for the medical personnel to be used in the clinical .
