中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
29期
22-23
,共2页
慢性阻塞性肺疾病%急性呼吸衰竭%无创通气
慢性阻塞性肺疾病%急性呼吸衰竭%無創通氣
만성조새성폐질병%급성호흡쇠갈%무창통기
Chronic obstructive pulmonary disease%Acute respiratory failure%Noninvasive ventilation
目的：探讨无创通气治疗慢性阻塞性肺疾病(COPD)合并急性呼吸衰竭(ARF)的临床疗效。方法：收治COPD合并ARF患者52例，随机分成观察组和对照组各26例，对照组给予心电监护和常规治疗，观察组在对照组的基础上行BiPAP(无创通气机辅助通气治疗)。结果：治疗24 h，两组心率(HR)、呼吸频率(RR)、pH、氧分压(PaO2)、二氧化碳分压(PaCO2)比较，差异有统计学意义(P＜0.05)。经过治疗，观察组死亡1例(3.8%)，住院时间(18.4±11.1) d，对照组死亡6例(32.1%)，住院时间(27.8±17.2)d，差异有统计学意义(P＜0.05)。结论：无创通气治疗 COPD 合并ARF能明显改善患者的氧分压，稳定心率和呼吸频率，缩短住院时间，死亡率明显降低。
目的：探討無創通氣治療慢性阻塞性肺疾病(COPD)閤併急性呼吸衰竭(ARF)的臨床療效。方法：收治COPD閤併ARF患者52例，隨機分成觀察組和對照組各26例，對照組給予心電鑑護和常規治療，觀察組在對照組的基礎上行BiPAP(無創通氣機輔助通氣治療)。結果：治療24 h，兩組心率(HR)、呼吸頻率(RR)、pH、氧分壓(PaO2)、二氧化碳分壓(PaCO2)比較，差異有統計學意義(P＜0.05)。經過治療，觀察組死亡1例(3.8%)，住院時間(18.4±11.1) d，對照組死亡6例(32.1%)，住院時間(27.8±17.2)d，差異有統計學意義(P＜0.05)。結論：無創通氣治療 COPD 閤併ARF能明顯改善患者的氧分壓，穩定心率和呼吸頻率，縮短住院時間，死亡率明顯降低。
목적：탐토무창통기치료만성조새성폐질병(COPD)합병급성호흡쇠갈(ARF)적림상료효。방법：수치COPD합병ARF환자52례，수궤분성관찰조화대조조각26례，대조조급여심전감호화상규치료，관찰조재대조조적기출상행BiPAP(무창통기궤보조통기치료)。결과：치료24 h，량조심솔(HR)、호흡빈솔(RR)、pH、양분압(PaO2)、이양화탄분압(PaCO2)비교，차이유통계학의의(P＜0.05)。경과치료，관찰조사망1례(3.8%)，주원시간(18.4±11.1) d，대조조사망6례(32.1%)，주원시간(27.8±17.2)d，차이유통계학의의(P＜0.05)。결론：무창통기치료 COPD 합병ARF능명현개선환자적양분압，은정심솔화호흡빈솔，축단주원시간，사망솔명현강저。
Objective:To explore the clinical effect of noninvasive ventilation in the treatment of acute respiratory failure of chronic obstructive pulmonary disease.Methods:52 patients with acute respiratory failure of chronic obstructive pulmonary disease were selected.They were randomly divided into the observation group and the control group with 26 cases in each group.The control group were given ECG monitoring and routine treatment.The observed group were given BiPAP(non-invasive ventilator assisted ventilation) on the basis of the control group.Results:After 24 hours of treatment,the heart rate(HR),respiratory rate (RR), pH,oxygen partial pressure(PaO2),carbon dioxide partial pressure (PaCO2) between the two gourps were statistically significant(P<0.05).After treatment,in the observation group,one case(3.8%) was death,hospitalization time was (18.4±11.1) days;in the control group,6 cases(32.1%) were death,the time of hospitalization was (27.8±17.2) days;the difference was statistically significant(P<0.05).Conclusion:Noninvasive ventilation in the treatment of acute respiratory failure of chronic obstructive pulmonary disease can significantly improve patients with oxygen partial pressure,stable heart rate and respiratory rate,shorten the length of hospital stay and reduce mortality.
