CAJ | 학술논문

目的评价无创呼吸机治疗COPD合并Ⅱ型呼吸功能衰竭的临床疗效.方法选取2010年至2013年我院收治的180例COPD合并Ⅱ型呼吸功能衰竭患者,随机分为观察组和对照组各90例,观察组采取无创呼吸机通气治疗,对照组采取常规措施治疗,比较两组患者的疗效.结果观察组总有效率为91.1％,对照组总有效率为63.3％；观察组治疗后动脉血气分析各项指标值与对照组相比有统计学差异(P＜0.05),观察组临床症状改善明显早于对照组.结论采用无创呼吸机治疗COPD合并Ⅱ型呼吸功能衰竭疗效好,症状改善明显,值得在临床上推广.
목적 평개무창호흡궤치료COPD합병Ⅱ형호흡공능쇠갈적림상료효.방법 선취2010년지2013년아원수치적180례COPD합병Ⅱ형호흡공능쇠갈환자,수궤분위관찰조화대조조각90례,관찰조채취무창호흡궤통기치료,대조조채취상규조시치료,비교량조환자적료효.결과 관찰조총유효솔위91.1％,대조조총유효솔위63.3％；관찰조치료후동맥혈기분석각항지표치여대조조상비유통계학차이(P＜0.05),관찰조림상증상개선명현조우대조조.결론 채용무창호흡궤치료COPD합병Ⅱ형호흡공능쇠갈료효호,증상개선명현,치득재림상상추엄.
Objective To evaluate the clinical effcacy of non-invasive ventilation in chronic obstructive pulmonary disease (COPD) patients with type Ⅱ respiratory failure.Methods From 2010 to 2013 in our hospital 180 cases of COPD with type Ⅱ respiratory failure were randomly divided into observation group and control group,90 cases in each group.The observation group with 90 cases was given the treatment of non-invasive ventilator,and control group with 90 cases used conventional treatment,the effcacy of two groups were compared.Results The total effective rate was 63.3％ in the control group,the total effective rate was 91.1％ in the observation group after treatment,arterial blood gas analysis in the index value compared with the control group was significantly different (P ＜ 0.05),the time of clinical symptoms improved significantly earlier in observation group than inthe control group.Conclusion The non-invasive ventilation has excellent efficacy in COPD patients with type Ⅱ respiratory failure,symptoms are improved significantly,which is worthy of promotion in clinical practice.