实用心脑肺血管病杂志
實用心腦肺血管病雜誌
실용심뇌폐혈관병잡지
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
2015年
9期
96-98
,共3页
肺疾病,慢性阻塞性%老年人%通气机,机械%治疗结果
肺疾病,慢性阻塞性%老年人%通氣機,機械%治療結果
폐질병,만성조새성%노년인%통기궤,궤계%치료결과
Pulmonary disease,chronic obstructive%Aged%Ventilators,mechanical%Treatment outcome
目的：探讨无创呼吸机辅助治疗老年慢性阻塞性肺疾病合并呼吸衰竭的临床效果。方法选取2013年7月—2014年11月四川省第四人民医院呼吸内科收治的80例老年慢性阻塞性肺疾病合并呼吸衰竭患者，按照随机数字表法分为对照组和观察组，每组40例。两组患者均给予常规治疗，观察组患者在常规治疗基础上联合无创呼吸机辅助治疗。比较两组患者治疗前后 pH 值、动脉血二氧化碳分压（ PaCO2）、动脉血氧分压（ PaO2）、血氧饱和度（SaO2）、心率（HR）与呼吸频率（RR），记录并比较两组患者住院时间、并发症发生率。结果治疗前两组患者 pH值、PaCO2、PaO2、SaO2、HR、RR 比较，差异无统计学意义（P >0.05）；治疗后，观察组患者 pH 值、PaO2、SaO2均高于对照组，PaCO2、HR、RR 均低于对照组（P <0.05）。对照组患者住院时间为（11.7±3.9）d，长于观察组的（9.1±3.4）d（P <0.05）；观察组患者并发症发生率为5.0%，低于对照组的27.5%（P <0.05）。结论无创呼吸机辅助治疗老年慢性阻塞性肺疾病合并呼吸衰竭的临床效果确切，有利于缩短患者住院时间且并发症发生率低。
目的：探討無創呼吸機輔助治療老年慢性阻塞性肺疾病閤併呼吸衰竭的臨床效果。方法選取2013年7月—2014年11月四川省第四人民醫院呼吸內科收治的80例老年慢性阻塞性肺疾病閤併呼吸衰竭患者，按照隨機數字錶法分為對照組和觀察組，每組40例。兩組患者均給予常規治療，觀察組患者在常規治療基礎上聯閤無創呼吸機輔助治療。比較兩組患者治療前後 pH 值、動脈血二氧化碳分壓（ PaCO2）、動脈血氧分壓（ PaO2）、血氧飽和度（SaO2）、心率（HR）與呼吸頻率（RR），記錄併比較兩組患者住院時間、併髮癥髮生率。結果治療前兩組患者 pH值、PaCO2、PaO2、SaO2、HR、RR 比較，差異無統計學意義（P >0.05）；治療後，觀察組患者 pH 值、PaO2、SaO2均高于對照組，PaCO2、HR、RR 均低于對照組（P <0.05）。對照組患者住院時間為（11.7±3.9）d，長于觀察組的（9.1±3.4）d（P <0.05）；觀察組患者併髮癥髮生率為5.0%，低于對照組的27.5%（P <0.05）。結論無創呼吸機輔助治療老年慢性阻塞性肺疾病閤併呼吸衰竭的臨床效果確切，有利于縮短患者住院時間且併髮癥髮生率低。
목적：탐토무창호흡궤보조치료노년만성조새성폐질병합병호흡쇠갈적림상효과。방법선취2013년7월—2014년11월사천성제사인민의원호흡내과수치적80례노년만성조새성폐질병합병호흡쇠갈환자，안조수궤수자표법분위대조조화관찰조，매조40례。량조환자균급여상규치료，관찰조환자재상규치료기출상연합무창호흡궤보조치료。비교량조환자치료전후 pH 치、동맥혈이양화탄분압（ PaCO2）、동맥혈양분압（ PaO2）、혈양포화도（SaO2）、심솔（HR）여호흡빈솔（RR），기록병비교량조환자주원시간、병발증발생솔。결과치료전량조환자 pH치、PaCO2、PaO2、SaO2、HR、RR 비교，차이무통계학의의（P >0.05）；치료후，관찰조환자 pH 치、PaO2、SaO2균고우대조조，PaCO2、HR、RR 균저우대조조（P <0.05）。대조조환자주원시간위（11.7±3.9）d，장우관찰조적（9.1±3.4）d（P <0.05）；관찰조환자병발증발생솔위5.0%，저우대조조적27.5%（P <0.05）。결론무창호흡궤보조치료노년만성조새성폐질병합병호흡쇠갈적림상효과학절，유리우축단환자주원시간차병발증발생솔저。
Objective To investigate the clinical effect of non - invasive ventilator in the adjuvant treatment of aged chronic obstructive pulmonary disease patients complicated with respiratory failure. Methods From July 2013 to November 2014,a total of 80 aged chronic obstructive pulmonary disease patients complicated with respiratory failure were selected in the Department of Respiratory Medicine,the Fourth People's Hospital of Sichuan Province,and they were randomly divided into control group and observation group,each of 40 cases. Patients of both groups received conventional treatment,while patients of observation group received extra non - invasive ventilator for assisted ventilation based on conventional treatment. Before and after treatment,pH,PaCO2 ,PaO2 ,SaO2 ,HR and RR were compared between the two groups,and hospital stays and incidence of adverse reactions were recorded. Results No statistically significant differences of pH,PaCO2 ,PaO2 ,SaO2 ,HR or RR was found between the two groups before treatment( P > 0. 05);after treatment,pH,PaO2 and SaO2 of observation group were statistically significantly higher than those of control group,while PaCO2 ,HR and RR of observation group were statistically significantly lower than those of control group(P < 0. 05). The hospital stays of observation group was(9. 1 ± 3. 4)days,was statistically significantly shorter than that of control group of(11. 7 ± 3. 9)days(P < 0. 05);the incidence of adverse reactions of observation group was 5. 0% ,was statistically significantly lower than that of control group of 27. 5% ( P < 0. 05 ). Conclusion Non - invasive ventilator has certain clinical effect in the adjuvant treatment of aged chronic obstructive pulmonary disease patients complicated with respiratory failure,is helpful to shorten the hospital stays,and is with lower incidence of adverse reactions.
