中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2015年
6期
173-175
,共3页
无创正压通气%AECOPD%Ⅱ型呼吸衰竭%临床效果
無創正壓通氣%AECOPD%Ⅱ型呼吸衰竭%臨床效果
무창정압통기%AECOPD%Ⅱ형호흡쇠갈%림상효과
Noninvasive positive pressure ventilation%AECOPD%TypeⅡrespiratory failure%Clinical effect
目的:研究无创正压通气在AECOPD合并Ⅱ型呼吸衰竭早期伴有意识障碍患者中的临床应用效果。方法对2011年3月~2014年6月我院收治的160例AECOPD合并Ⅱ型呼吸衰竭早期伴有意识障碍患者进行回顾性分析,采取有创机械通气治疗的80例患者为对照组,采取无创正压通气治疗的80例患者为观察组。观察比较两组患者治疗前后的呼吸频率(RR)、心率(HR)、动脉PaO2以及PaCO2指标的变化情况。结果治疗后,观察组80例患者的治疗总有效率为81.25%,明显高于对照组的63.75%,组间差异有统计学意义(P<0.05);两组患者的临床症状及指标均获得明显改善,研究组患者的呼吸频率、心率等显著下降,并趋于正常,动脉血气PaO2明显升高、PaCO2显著降低,与对照组相比差异有统计学意义(P<0.05)。结论无创正压通气在AECOPD合并Ⅱ型呼吸衰竭早期伴有意识障碍患者的临床治疗中效果显著,能有效的改善患者的意识、临床症状、呼吸频率、心率、动脉血气等症状。值得广泛推广和应用。
目的:研究無創正壓通氣在AECOPD閤併Ⅱ型呼吸衰竭早期伴有意識障礙患者中的臨床應用效果。方法對2011年3月~2014年6月我院收治的160例AECOPD閤併Ⅱ型呼吸衰竭早期伴有意識障礙患者進行迴顧性分析,採取有創機械通氣治療的80例患者為對照組,採取無創正壓通氣治療的80例患者為觀察組。觀察比較兩組患者治療前後的呼吸頻率(RR)、心率(HR)、動脈PaO2以及PaCO2指標的變化情況。結果治療後,觀察組80例患者的治療總有效率為81.25%,明顯高于對照組的63.75%,組間差異有統計學意義(P<0.05);兩組患者的臨床癥狀及指標均穫得明顯改善,研究組患者的呼吸頻率、心率等顯著下降,併趨于正常,動脈血氣PaO2明顯升高、PaCO2顯著降低,與對照組相比差異有統計學意義(P<0.05)。結論無創正壓通氣在AECOPD閤併Ⅱ型呼吸衰竭早期伴有意識障礙患者的臨床治療中效果顯著,能有效的改善患者的意識、臨床癥狀、呼吸頻率、心率、動脈血氣等癥狀。值得廣汎推廣和應用。
목적:연구무창정압통기재AECOPD합병Ⅱ형호흡쇠갈조기반유의식장애환자중적림상응용효과。방법대2011년3월~2014년6월아원수치적160례AECOPD합병Ⅱ형호흡쇠갈조기반유의식장애환자진행회고성분석,채취유창궤계통기치료적80례환자위대조조,채취무창정압통기치료적80례환자위관찰조。관찰비교량조환자치료전후적호흡빈솔(RR)、심솔(HR)、동맥PaO2이급PaCO2지표적변화정황。결과치료후,관찰조80례환자적치료총유효솔위81.25%,명현고우대조조적63.75%,조간차이유통계학의의(P<0.05);량조환자적림상증상급지표균획득명현개선,연구조환자적호흡빈솔、심솔등현저하강,병추우정상,동맥혈기PaO2명현승고、PaCO2현저강저,여대조조상비차이유통계학의의(P<0.05)。결론무창정압통기재AECOPD합병Ⅱ형호흡쇠갈조기반유의식장애환자적림상치료중효과현저,능유효적개선환자적의식、림상증상、호흡빈솔、심솔、동맥혈기등증상。치득엄범추엄화응용。
Objective To study the effect of clinical application of noninvasive positive pressure ventilation(NIPPV) on early stage of AECOPD combined type Ⅱ respiratory fallure of patients with conscious disturbance. Methods 160 patients with conscious disturbance at early stage of AECOPD combined type Ⅱ respiratory fallure, who were treated in our hospital from March 2011 to June 2014, were retrospectively analyzed, and divided into control group of 80 patients who were treated with invasive mechanical ventilation(MV) and observation group of 80 patients who were treated with NIPPV. To observe and compare the changes of respiratory rate(RR), heart rate(HR), the indexes of artery PaO2 and PaCO2 of patients pre and post treatment between the two groups. Results The total effective rate of treatment after operation in observation group(81.25%) was obviously higher than which in control group(63.75%), the differences was statically significant between the two groups(P<0.05). The clinical symptoms and the indexes of the two groups were all had obviously improvement, while RR and HR of observation group had significantly decreased and had tended to be normal, artery PaO2 had significantly increased, and PaCO2 had significantly decreased, the differences was statically significant between the two groups(P < 0.05). Conclusion NIPPV on early stage of AECOPD combined type Ⅱ respiratory fallure of patients with conscious disturbance has significant clinical effect, could effectively improve the consciousness, the clinical symptoms, RR, HR, and arterial blood gas of patients, is worthy of clinical extensive application and popularization.