中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
19期
94-95
,共2页
慢性阻塞性肺病%无创呼吸机%治疗
慢性阻塞性肺病%無創呼吸機%治療
만성조새성폐병%무창호흡궤%치료
Chronic obstructive pulmonary disease%Noninvasive ventilator%Treatment
目的：探讨无创呼吸机治疗在慢性阻塞性肺病急性加重期的疗效。方法：选择慢性阻塞性肺病急性加重期并发Ⅱ型呼吸衰竭的患者70例，随机分成无创呼吸机治疗组（n=35）和对照组（n=35），对照组患者采用常规方法治疗，无创呼吸机治疗组加用无创呼吸机治疗，比较两组患者的临床治疗效果。结果：治疗组的总有效率为94.3%，对照组为74.3%，两组比较差异有统计学意义（χ2=5.29，P<0.05）。治疗后治疗组 PaO2、SaO2值显著高于对照组，PaCO2显著低于对照组，差异有统计学意义（P<0.05）。治疗组总住院时间较对照组缩短，两组比较差异有统计学意义（P<0.05）。结论：无创呼吸机治疗慢性阻塞性肺病急性加重期疗效明显，值得临床推广。
目的：探討無創呼吸機治療在慢性阻塞性肺病急性加重期的療效。方法：選擇慢性阻塞性肺病急性加重期併髮Ⅱ型呼吸衰竭的患者70例，隨機分成無創呼吸機治療組（n=35）和對照組（n=35），對照組患者採用常規方法治療，無創呼吸機治療組加用無創呼吸機治療，比較兩組患者的臨床治療效果。結果：治療組的總有效率為94.3%，對照組為74.3%，兩組比較差異有統計學意義（χ2=5.29，P<0.05）。治療後治療組 PaO2、SaO2值顯著高于對照組，PaCO2顯著低于對照組，差異有統計學意義（P<0.05）。治療組總住院時間較對照組縮短，兩組比較差異有統計學意義（P<0.05）。結論：無創呼吸機治療慢性阻塞性肺病急性加重期療效明顯，值得臨床推廣。
목적：탐토무창호흡궤치료재만성조새성폐병급성가중기적료효。방법：선택만성조새성폐병급성가중기병발Ⅱ형호흡쇠갈적환자70례，수궤분성무창호흡궤치료조（n=35）화대조조（n=35），대조조환자채용상규방법치료，무창호흡궤치료조가용무창호흡궤치료，비교량조환자적림상치료효과。결과：치료조적총유효솔위94.3%，대조조위74.3%，량조비교차이유통계학의의（χ2=5.29，P<0.05）。치료후치료조 PaO2、SaO2치현저고우대조조，PaCO2현저저우대조조，차이유통계학의의（P<0.05）。치료조총주원시간교대조조축단，량조비교차이유통계학의의（P<0.05）。결론：무창호흡궤치료만성조새성폐병급성가중기료효명현，치득림상추엄。
Objective:To investigate the curative effect of noninvasive ventilator on chronic obstructive pulmonary disease with acute exacerbation. Method:70 patients with chronic obstructive pulmonary disease with acute exacerbation combined with respiratory failure type II were randomly divided into treatment group(n=35)and control group(n=35).Routine treatment was given to patients in both groups,while noninvasive ventilator was added to patients in treatment group.A comparison was made between the clinical curative effects of the two groups.Result:The rate of the total effect in treatment group was 94.3%,while that in control group was 74.3%.The difference was highly statistically significant between the two groups( χ2=5.29,P<0.05). The PaO2 and SaO2 of treatment group after treatment were obviously higher than those of control group and PaCO2 of treatment group,which was obviously lower than that of control group.The difference was highly statistically significant(P<0.05).The total length of stay of treatment group was shorter than that of control group.The difference was highly statistically significant(P<0.05).Conclusions:The noninvasive ventilator treatment effect is significant for patients with chronic obstructive pulmonary disease with acute exacerbation.It is worthy of promotion.
