中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2014年
23期
184-186
,共3页
COPD%Ⅱ型呼吸衰竭%无创性目标潮气量机械通气
COPD%Ⅱ型呼吸衰竭%無創性目標潮氣量機械通氣
COPD%Ⅱ형호흡쇠갈%무창성목표조기량궤계통기
COPD%TypeⅡrespiratory failure%Noninvasive tidal volume mechanical ventilation
目的：对无创性目标潮气量机械通气在COPD合并Ⅱ型呼吸衰竭患者中的应用价值分析。方法临床选取我院呼吸科2013年7月~2014年7月实施治疗的99例COPD合并Ⅱ型呼吸衰竭患者，并将其随机分成3组，其中对照组患者实施常规治疗；ST组患者在常规治疗基础上，加上无创呼吸机ST模式治疗；TVV组患者在常规治疗基础上加上无创呼吸机TVV模式治疗。结果治疗前，3组患者血气情况差异无统计学意义（P＞0.05）；治疗后3组患者血气均比治疗前有明显改善，差异有统计学意义（P＜0.05）；治疗后，ST组和TVV组患者和对照组相比，其血气改善效果具有明显优势，差异有统计学意义（P＜0.05）；治疗后，ST组和TVV组患者血气改善效果对比，差异无统计学意义（P＞0.05）。结论无创性目标潮气量机械通气在COPD合并Ⅱ型呼吸衰竭患者临床治疗中的应用，能够取得良好临床效果，值得推广。
目的：對無創性目標潮氣量機械通氣在COPD閤併Ⅱ型呼吸衰竭患者中的應用價值分析。方法臨床選取我院呼吸科2013年7月~2014年7月實施治療的99例COPD閤併Ⅱ型呼吸衰竭患者，併將其隨機分成3組，其中對照組患者實施常規治療；ST組患者在常規治療基礎上，加上無創呼吸機ST模式治療；TVV組患者在常規治療基礎上加上無創呼吸機TVV模式治療。結果治療前，3組患者血氣情況差異無統計學意義（P＞0.05）；治療後3組患者血氣均比治療前有明顯改善，差異有統計學意義（P＜0.05）；治療後，ST組和TVV組患者和對照組相比，其血氣改善效果具有明顯優勢，差異有統計學意義（P＜0.05）；治療後，ST組和TVV組患者血氣改善效果對比，差異無統計學意義（P＞0.05）。結論無創性目標潮氣量機械通氣在COPD閤併Ⅱ型呼吸衰竭患者臨床治療中的應用，能夠取得良好臨床效果，值得推廣。
목적：대무창성목표조기량궤계통기재COPD합병Ⅱ형호흡쇠갈환자중적응용개치분석。방법림상선취아원호흡과2013년7월~2014년7월실시치료적99례COPD합병Ⅱ형호흡쇠갈환자，병장기수궤분성3조，기중대조조환자실시상규치료；ST조환자재상규치료기출상，가상무창호흡궤ST모식치료；TVV조환자재상규치료기출상가상무창호흡궤TVV모식치료。결과치료전，3조환자혈기정황차이무통계학의의（P＞0.05）；치료후3조환자혈기균비치료전유명현개선，차이유통계학의의（P＜0.05）；치료후，ST조화TVV조환자화대조조상비，기혈기개선효과구유명현우세，차이유통계학의의（P＜0.05）；치료후，ST조화TVV조환자혈기개선효과대비，차이무통계학의의（P＞0.05）。결론무창성목표조기량궤계통기재COPD합병Ⅱ형호흡쇠갈환자림상치료중적응용，능구취득량호림상효과，치득추엄。
Objective To analyze the effects of Noninvasive tidal volume mechanical ventilation in the implementation of COPD with type Ⅱ respiratory failure. Methods 99 cases of COPD with type Ⅱ respiratory failure patients in the implementation of treatment in respiratory department of our hospital from July 2013 - July 2014 were selected by the clinical, and they were randomly divided into three groups, the control group patients were given routine treatment; the ST group patients were given noninvasive ventilator ST model treatment on the basis of routine therapy;while the TVV group patients were given TVV model treatment on the basis of conventional treatment combined with noninvasive ventilator. Results Before treatment, the differences of blood gas of patients in the three groups were not big, they were not statistically significant (P > 0.05); after treatment, the flesh of the three groups of patients was obviously improved than that of before treatment, the difference was significant (P < 0.05); After treatment, the flesh improve effects of patients in ST and TVV group had more obvious advantages than that of the control group, the differences were significant (P < 0.05); After treatment, the difference of effect of the blood gas improved of patients in the ST and TVV group was no significant (P>0.05). Conclusion Noninvasive target tidal volume mechanical ventilation can achieve good clinical application effects in the clinical treatment of patients with COPD with typeⅡrespiratory failure, so is worthy of promoting.
