中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
24期
50-52
,共3页
纤维支气管镜%有创加无创机械通气%序贯治疗%老年严重呼吸衰竭
纖維支氣管鏡%有創加無創機械通氣%序貫治療%老年嚴重呼吸衰竭
섬유지기관경%유창가무창궤계통기%서관치료%노년엄중호흡쇠갈
Fiberoptic bronchoscopy%Invasive and noninvasive mechanical ventilation%Sequential therapy%Elderly patients with severe respiratory failure
目的：探讨纤维支气管镜联合有创加无创机械通气序贯治疗老年慢性阻塞性肺疾病严重呼吸衰竭的临床疗效。方法：本次医学研究选择本院2013年4月-2015年2月间收治的100例老年慢性阻塞性肺疾病严重呼吸衰竭患者为观察对象，随机将其分为对照组和试验组，每组各50例患者，对照组患者接受辅助-控制机械通气治疗，试验组患者接受纤维支气管镜联合有创加无创机械通气序贯治疗，对比分析两组患者临床治疗效果。结果：试验组临床治疗的总有效率、临床观察指标以及血气分析指标均明显优于对照组，两组比较差异有统计学意义（P<0.05）。结论：本次医学研究结果证实，老年慢性阻塞性肺疾病严重呼吸衰竭患者接受纤维支气管镜联合有创加无创机械通气序贯治疗，具有较为理想的临床效果，值得推广。
目的：探討纖維支氣管鏡聯閤有創加無創機械通氣序貫治療老年慢性阻塞性肺疾病嚴重呼吸衰竭的臨床療效。方法：本次醫學研究選擇本院2013年4月-2015年2月間收治的100例老年慢性阻塞性肺疾病嚴重呼吸衰竭患者為觀察對象，隨機將其分為對照組和試驗組，每組各50例患者，對照組患者接受輔助-控製機械通氣治療，試驗組患者接受纖維支氣管鏡聯閤有創加無創機械通氣序貫治療，對比分析兩組患者臨床治療效果。結果：試驗組臨床治療的總有效率、臨床觀察指標以及血氣分析指標均明顯優于對照組，兩組比較差異有統計學意義（P<0.05）。結論：本次醫學研究結果證實，老年慢性阻塞性肺疾病嚴重呼吸衰竭患者接受纖維支氣管鏡聯閤有創加無創機械通氣序貫治療，具有較為理想的臨床效果，值得推廣。
목적：탐토섬유지기관경연합유창가무창궤계통기서관치료노년만성조새성폐질병엄중호흡쇠갈적림상료효。방법：본차의학연구선택본원2013년4월-2015년2월간수치적100례노년만성조새성폐질병엄중호흡쇠갈환자위관찰대상，수궤장기분위대조조화시험조，매조각50례환자，대조조환자접수보조-공제궤계통기치료，시험조환자접수섬유지기관경연합유창가무창궤계통기서관치료，대비분석량조환자림상치료효과。결과：시험조림상치료적총유효솔、림상관찰지표이급혈기분석지표균명현우우대조조，량조비교차이유통계학의의（P<0.05）。결론：본차의학연구결과증실，노년만성조새성폐질병엄중호흡쇠갈환자접수섬유지기관경연합유창가무창궤계통기서관치료，구유교위이상적림상효과，치득추엄。
Objective:To explore the clinical effect of fiber bronchoscope combined with invasive and noninvasive mechanical ventilation sequential therapy for aged COPD with severe respiratory failure.Method:100 elderly COPD patients with severe respiratory failure in our hospital were selected from April 2013 to February 2015 as the observation objects,they were randomly divided into control group and experimental group,50 cases in each group.The control group patients received adjuvant-controlled mechanical ventilation therapy,the experimental group received fiberoptic bronchoscopy combined with invasive and non-invasive sequential mechanical ventilation sequential therapy,the clinical curative effect of two groups were compared.Result:The clinical treatment of total ef ective rate,clinical observation indexes and blood gas analysis indexes of experimental group were significantly bet er than the control group,the dif erences were statistical y significant(P<0.05). Conclusion:The conclusion of the medical research results confirm that the elderly COPD patients with severe respiratory failure underwent fiberoptic bronchoscopy combined with invasive and noninvasive mechanical ventilation sequential therapy has ideal clinical ef ect,it is worth to promote.
