实用医学杂志
實用醫學雜誌
실용의학잡지
The Journal of Practical Medicine
2015年
15期
2527-2529
,共3页
无创正压通气%慢性阻塞性肺疾病%阻塞性睡眠呼吸暂停综合征%重叠综合征
無創正壓通氣%慢性阻塞性肺疾病%阻塞性睡眠呼吸暫停綜閤徵%重疊綜閤徵
무창정압통기%만성조새성폐질병%조새성수면호흡잠정종합정%중첩종합정
Noninvasive positive pressure ventilation%Chronic obstructive pulmonary disease%Ob-structivesleep apnea syndrome%Overlap syndrome
目的:分析双水平气道正压通气(BiPAP)对伴高碳酸血症的重叠综合征患者的疗效. 方法:对2012 年10 月至2014 年12 月就诊于我院呼吸科的12 例伴有高碳酸血症并且合并存在慢性阻塞性肺疾病(COPD)及中-重度阻塞性睡眠呼吸暂停综合征(OSAS)的重叠综合征患者,采用 BiPAP Auto N757 型无创呼吸机治疗10 d 后,对其治疗前后的血气分析进行比较. 结果:在应用 BiPAP 治疗后及出院时各时间点pH显著下降(P < 0.05),PaO2显著升高(P < 0.05),PaCO2显著下降(P < 0.05). 结论:对于伴有高碳酸血症的重叠综合征患者,BiPAP 有较好的治疗效果.
目的:分析雙水平氣道正壓通氣(BiPAP)對伴高碳痠血癥的重疊綜閤徵患者的療效. 方法:對2012 年10 月至2014 年12 月就診于我院呼吸科的12 例伴有高碳痠血癥併且閤併存在慢性阻塞性肺疾病(COPD)及中-重度阻塞性睡眠呼吸暫停綜閤徵(OSAS)的重疊綜閤徵患者,採用 BiPAP Auto N757 型無創呼吸機治療10 d 後,對其治療前後的血氣分析進行比較. 結果:在應用 BiPAP 治療後及齣院時各時間點pH顯著下降(P < 0.05),PaO2顯著升高(P < 0.05),PaCO2顯著下降(P < 0.05). 結論:對于伴有高碳痠血癥的重疊綜閤徵患者,BiPAP 有較好的治療效果.
목적:분석쌍수평기도정압통기(BiPAP)대반고탄산혈증적중첩종합정환자적료효. 방법:대2012 년10 월지2014 년12 월취진우아원호흡과적12 례반유고탄산혈증병차합병존재만성조새성폐질병(COPD)급중-중도조새성수면호흡잠정종합정(OSAS)적중첩종합정환자,채용 BiPAP Auto N757 형무창호흡궤치료10 d 후,대기치료전후적혈기분석진행비교. 결과:재응용 BiPAP 치료후급출원시각시간점pH현저하강(P < 0.05),PaO2현저승고(P < 0.05),PaCO2현저하강(P < 0.05). 결론:대우반유고탄산혈증적중첩종합정환자,BiPAP 유교호적치료효과.
Objective To analyze the effect of bilevel positive airway pressure (BiPAP) in the patients with hypercapnia overlap syndrome (OS). Method From October 2012 to December 2014, 12 patients with complicated with hypercapnia in the presence of chronic obstructivepulmonary disease ( COPD ) and moderate to severe obstructive sleep apnea syndrome (OSAS), in the respiratory department of our hospital were treated with Noninvasive positive pressure ventilation for 10 days , blood gas was analysed and comparedbefore and after treatment. Results After BiPAP application and the day leaving hospital , pHi n each time point significantly decreased (P < 0.05), PaO2 significantly increased (P< 0.05), PaCO2 significantly decreased (P < 0.05). Conclusion BiPAP ventilation is an effective treatment in patients with hypercapnia overlap syndrome.
