CAJ | 학술논문

目的：探讨双水平气道正压（ BiPAP）无创通气在老年慢性阻塞性肺疾病（ COPD）中治疗效果。方法选取我院收治的64例COPD患者随机分为观察组和对照组，对照组采用常规方法治疗，观察组在对照组治疗基础上采用BiPAP无创通气治疗，比较两组患者治疗效果，治疗48 h后肺功能、呼吸频率（RR）、心率（HR）和pH值。结果观察组治疗总有效率为97．06％明显高于对照组83．33％总有效率，两组比较有统计学意义（ P＜0．05）；观察组治疗48 h后RR、HR值明显低于对照组，pH值明显高于对照组，两组间各值比较有统计学意义（P＜0．05）；观察组治疗48 h后PaCO2低于对照组，PaO2、FEV1和FVC值明显高于对照组，两组间各值比较有统计学意义（P＜0．05）。结论双水平气道正压无创通气治疗老年慢性阻塞性肺疾病可改善患者呼吸频率、心率和肺功能，提高治疗效果，具有显著临床治疗效果，值得在临床中推广应用。
목적：탐토쌍수평기도정압（ BiPAP）무창통기재노년만성조새성폐질병（ COPD）중치료효과。방법선취아원수치적64례COPD환자수궤분위관찰조화대조조，대조조채용상규방법치료，관찰조재대조조치료기출상채용BiPAP무창통기치료，비교량조환자치료효과，치료48 h후폐공능、호흡빈솔（RR）、심솔（HR）화pH치。결과관찰조치료총유효솔위97．06％명현고우대조조83．33％총유효솔，량조비교유통계학의의（ P＜0．05）；관찰조치료48 h후RR、HR치명현저우대조조，pH치명현고우대조조，량조간각치비교유통계학의의（P＜0．05）；관찰조치료48 h후PaCO2저우대조조，PaO2、FEV1화FVC치명현고우대조조，량조간각치비교유통계학의의（P＜0．05）。결론쌍수평기도정압무창통기치료노년만성조새성폐질병가개선환자호흡빈솔、심솔화폐공능，제고치료효과，구유현저림상치료효과，치득재림상중추엄응용。
Objective Study on the treatment effect of noninvasive bi-level positive airway pressure (BiPAP) ventilation in the treatment of chronic obstructive pulmonary disease (COPD).Methods 64 cases of patients with COPD were randomly divided into the observation group and the control group, patients in control group adopted the conventional nursing method, however, patients in the treatment group using BiPAP non -invasive ventilation.The effects of the two groups were compared (including respiratory frequency (RR), heart rate (HR) and pH value 48h after treatment.Results The total effective rate of observation group was 97.06%which was higher than 83.33% of the control group.RR, HR values were significantly lower than the control group in the observation group after treatment for 48h, on the contrary, PH values were significantly higher than that of control group.The PaCO2 of observation group was lower than the control group, however, the PaO2 , FEV1 and FVC values were significantly higher than those in the control group.The differences between the two groups were statistically significant (P<0.05).Conclusions Non-invasive bi-level positive airway pressure ventilation in the treatment of elderly patients with chronic obstructive pulmonary disease can improve the respiratory frequency, heart rate and pulmonary function of patient, it improves the treatment effect, so it has a substantial clinical curative effect and is worthy of clinical application widely.