中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
10期
189-191
,共3页
无创通气%慢性阻塞性肺疾病%双管喉罩%护理
無創通氣%慢性阻塞性肺疾病%雙管喉罩%護理
무창통기%만성조새성폐질병%쌍관후조%호리
Noninvasive ventilation%Chronic obstructive pulmonary disease%Double tube laryngeal mask%Nursing
目的：探讨双管喉罩用于COPD呼吸衰竭无创通气中的应用效果。方法选取本院2012年1月~2014年6月收治的60例COPD合并Ⅱ型吸吸衰竭患者作为研究对象，随机分为两组，各30例。观察组给予双管喉罩，对照组给予普通口鼻面罩，比较两组的SpO2上升时间、动脉血气改善时间、通气失败率、脱机时间、并发症发生率。结果观察组的SpO2上升时间、脱机时间显著短于对照组，差异有统计学意义(P<0.01)。观察组的反流误吸率、通气失败率显著低于对照组，差异有统计学意义(P<0.05)。观察组治疗后8、48 h的pH、PaCO2水平显著高于对照组，观察组的PaCO2水平显著低于对照组，差异有统计学意义(P<0.01)。结论双管喉罩可以更好地改善COPD合并Ⅱ型呼吸衰竭患者的预后，能够替代口鼻面罩用于该类患者的无创通气治疗。
目的：探討雙管喉罩用于COPD呼吸衰竭無創通氣中的應用效果。方法選取本院2012年1月~2014年6月收治的60例COPD閤併Ⅱ型吸吸衰竭患者作為研究對象，隨機分為兩組，各30例。觀察組給予雙管喉罩，對照組給予普通口鼻麵罩，比較兩組的SpO2上升時間、動脈血氣改善時間、通氣失敗率、脫機時間、併髮癥髮生率。結果觀察組的SpO2上升時間、脫機時間顯著短于對照組，差異有統計學意義(P<0.01)。觀察組的反流誤吸率、通氣失敗率顯著低于對照組，差異有統計學意義(P<0.05)。觀察組治療後8、48 h的pH、PaCO2水平顯著高于對照組，觀察組的PaCO2水平顯著低于對照組，差異有統計學意義(P<0.01)。結論雙管喉罩可以更好地改善COPD閤併Ⅱ型呼吸衰竭患者的預後，能夠替代口鼻麵罩用于該類患者的無創通氣治療。
목적：탐토쌍관후조용우COPD호흡쇠갈무창통기중적응용효과。방법선취본원2012년1월~2014년6월수치적60례COPD합병Ⅱ형흡흡쇠갈환자작위연구대상，수궤분위량조，각30례。관찰조급여쌍관후조，대조조급여보통구비면조，비교량조적SpO2상승시간、동맥혈기개선시간、통기실패솔、탈궤시간、병발증발생솔。결과관찰조적SpO2상승시간、탈궤시간현저단우대조조，차이유통계학의의(P<0.01)。관찰조적반류오흡솔、통기실패솔현저저우대조조，차이유통계학의의(P<0.05)。관찰조치료후8、48 h적pH、PaCO2수평현저고우대조조，관찰조적PaCO2수평현저저우대조조，차이유통계학의의(P<0.01)。결론쌍관후조가이경호지개선COPD합병Ⅱ형호흡쇠갈환자적예후，능구체대구비면조용우해류환자적무창통기치료。
Objective To explore the application effect of double tube laryngeal mask in noninvasive ventilation on chronic obstructive pulmonary disease(COPD) patient with respiratory failure. Methods 60 patients with COPD and typeII respiratory failure from January 2012 to June 2014 in our hospital were selected and randomly divided into two groups,30 cases in each group.The observation group was given the double tube laryngeal mask,the control group was given the ordinary nose and mouth mask.The SpO2 rise time,arterial blood gas improvement time,ventilation failure rate, the offline time,the incidence rate of complication in two groups was compared. Results The SpO2 rise time,the offline time of the observation group was shorter than that of the control group,with significant difference(P<0.01).The regurgi-tation and aspiration rate,ventilation failure rate in the observation group was lower than that in the control group,with significant difference(P<0.05).The level of pH and PaCO2 in the observation group at 8,48 h after treatment was higher than that in the control group,the level of PaCO2 in the observation group was lower than that in the control group,with significant difference (P<0.01). Conclusion Double tube laryngeal mask can improve the prognosis in patients with COPD and type II respiratory failure and replace nose and mouth mask for noninvasive ventilation treatment on these patients.
