中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2015年
10期
6-7,8
,共3页
COPD急性加重%Ⅱ型呼吸衰竭%无创呼吸机
COPD急性加重%Ⅱ型呼吸衰竭%無創呼吸機
COPD급성가중%Ⅱ형호흡쇠갈%무창호흡궤
COPD exacerbation%Type Ⅱ respiratory failure%Noninvasive ventilator
目的：探讨分析慢性阻塞性肺疾病急性加重(AECOPD)合并Ⅱ型呼吸衰竭患者采用无创呼吸机治疗的临床疗效。方法：将笔者所在医院收治的64例AECOPD合并Ⅱ型呼吸衰竭患者按照随机数字表法分为观察组(在常规治疗基础上采用无创呼吸机治疗)和对照组(单独采用常规方法治疗)，对比观察两组患者治疗前后呼吸频率、心率、各项血气分析指标变化情况及两组患者住院时间、死亡率。结果：两组患者经治疗后，RR、HR等指标较治疗前均有所下降(P<0.05)，两组患者PaO2、SaO2指标水平均有所升高，而PaCO2水平较治疗前有所下降(P<0.05)，但是观察组治疗后HR、RR、SaO2、PaO2、PaCO2等各项指标均优于对照组(P<0.05)。观察组患者住院时间(13.9±2.3)d明显短于对照组(21.9±4.9)d，且观察组患者死亡率(3.1%)明显低于对照组(9.4%)，差异均有统计学意义(P<0.05)。结论：AECOPD合并Ⅱ型呼吸衰竭患者采用无创呼吸机治疗的临床疗效显著，可有效改善患者的临床症状，降低死亡率，缩短住院时间，促进患者尽早康复，值得在临床上进一步推广、应用。
目的：探討分析慢性阻塞性肺疾病急性加重(AECOPD)閤併Ⅱ型呼吸衰竭患者採用無創呼吸機治療的臨床療效。方法：將筆者所在醫院收治的64例AECOPD閤併Ⅱ型呼吸衰竭患者按照隨機數字錶法分為觀察組(在常規治療基礎上採用無創呼吸機治療)和對照組(單獨採用常規方法治療)，對比觀察兩組患者治療前後呼吸頻率、心率、各項血氣分析指標變化情況及兩組患者住院時間、死亡率。結果：兩組患者經治療後，RR、HR等指標較治療前均有所下降(P<0.05)，兩組患者PaO2、SaO2指標水平均有所升高，而PaCO2水平較治療前有所下降(P<0.05)，但是觀察組治療後HR、RR、SaO2、PaO2、PaCO2等各項指標均優于對照組(P<0.05)。觀察組患者住院時間(13.9±2.3)d明顯短于對照組(21.9±4.9)d，且觀察組患者死亡率(3.1%)明顯低于對照組(9.4%)，差異均有統計學意義(P<0.05)。結論：AECOPD閤併Ⅱ型呼吸衰竭患者採用無創呼吸機治療的臨床療效顯著，可有效改善患者的臨床癥狀，降低死亡率，縮短住院時間，促進患者儘早康複，值得在臨床上進一步推廣、應用。
목적：탐토분석만성조새성폐질병급성가중(AECOPD)합병Ⅱ형호흡쇠갈환자채용무창호흡궤치료적림상료효。방법：장필자소재의원수치적64례AECOPD합병Ⅱ형호흡쇠갈환자안조수궤수자표법분위관찰조(재상규치료기출상채용무창호흡궤치료)화대조조(단독채용상규방법치료)，대비관찰량조환자치료전후호흡빈솔、심솔、각항혈기분석지표변화정황급량조환자주원시간、사망솔。결과：량조환자경치료후，RR、HR등지표교치료전균유소하강(P<0.05)，량조환자PaO2、SaO2지표수평균유소승고，이PaCO2수평교치료전유소하강(P<0.05)，단시관찰조치료후HR、RR、SaO2、PaO2、PaCO2등각항지표균우우대조조(P<0.05)。관찰조환자주원시간(13.9±2.3)d명현단우대조조(21.9±4.9)d，차관찰조환자사망솔(3.1%)명현저우대조조(9.4%)，차이균유통계학의의(P<0.05)。결론：AECOPD합병Ⅱ형호흡쇠갈환자채용무창호흡궤치료적림상료효현저，가유효개선환자적림상증상，강저사망솔，축단주원시간，촉진환자진조강복，치득재림상상진일보추엄、응용。
Objective:To study the clinical curative effect of noninvasive ventilator in the treatment of chronic obstructive pulmonary diseases acute exacerbation(AECOPD) with type Ⅱ respiratory failure.Method:64 cases of AECOPD with type Ⅱ respiratory failure in our hospital according to random number table method were divided into the observation group(on the basis of conventional treatment using noninvasive ventilator therapy) and the control group(with conventional treatment alone),before and after treatment breathing rate,heart rate,blood gas analysis index changes,length of hospital stay,mortality of two groups were compared.Result:Two groups of patients after treatment,RR,HR and other indicators before treatment were decreased(P<0.05),PaO2,SaO2 index level of two groups were increased,PaCO2 level fell compared with before treatment(P<0.05),but HR,RR, SaO2,PaO2 and PaCO2 of the observation group after treatment,the indicators were better than those of the control group(P<0.05).The hospital time of the observation group(13.9±2.3)d were significantly shorter than that of the control group(21.9±4.9)d,and mortality rate of the observation group(3.1%) was obviously lower than that of the control group(9.4%),there was statistically significant difference(P<0.05).Conclusion:AECOPD with type Ⅱ respiratory failure patients using noninvasive ventilator therapy clinical curative effect is distinct,can effectively improve the patient’s clinical symptoms,lower mortality rate,shorten hospitalization time,promote the patient recover as soon as possible,is worth of further promotion and application in clinic.
