国际呼吸杂志
國際呼吸雜誌
국제호흡잡지
International Journal of Respiration
2015年
20期
1554-1557
,共4页
老年慢性阻塞性肺疾病急性加重期%机械通气时机%临床疗效%危险因素
老年慢性阻塞性肺疾病急性加重期%機械通氣時機%臨床療效%危險因素
노년만성조새성폐질병급성가중기%궤계통기시궤%림상료효%위험인소
Patients with acute exacerbations of chronic obstructivepulmonary disease%Mechanical ventilation%Clinical curative effect%Risk factors
目的 探讨老年慢性阻塞性肺疾病急性加重期(AECOPD)患者行有创机械通气的最佳时机,并对其危险因素进行分析.方法 筛选2014年1月至2015年1月新疆维吾尔自治区职业病医院收治的老年COPD患者86例作为研究对象.根据患者有创机械通气时机将其分为早期组(n=42)与晚期组(n=44),2组患者基础资料比较差异无统计学意义,均接受常规抗感染、解痉挛、平喘、祛痰、引流以及营养支持等措施,其中早期组患者给予早期机械通气,晚期组因医疗条件、家属因素及急救延误等原因,在密切监护患者病情情况下给予延迟机械通气治疗,比较2组患者有创机械通气治疗后血气分析结果,以及患者通气时间、住院时间等指标.结果 有创机械通气治疗后,早期组患者氧合指数指标高于晚期组,PaCO2指标低于晚期组患者,差异有统计学意义(P＜0.05);早期组患者有创机械通气时间、总机械通气时间、住院时间明显低于晚期组,差异有统计学意义(P＜0.05).结论 若老年COPD患者符合有创机械通气指征则应早期进行有创机械通气,可显著改善患者呼吸功能,并降低患者机械通气时间,减少患者住院时间及经济压力,具有临床应用及推广价值.
目的 探討老年慢性阻塞性肺疾病急性加重期(AECOPD)患者行有創機械通氣的最佳時機,併對其危險因素進行分析.方法 篩選2014年1月至2015年1月新疆維吾爾自治區職業病醫院收治的老年COPD患者86例作為研究對象.根據患者有創機械通氣時機將其分為早期組(n=42)與晚期組(n=44),2組患者基礎資料比較差異無統計學意義,均接受常規抗感染、解痙攣、平喘、祛痰、引流以及營養支持等措施,其中早期組患者給予早期機械通氣,晚期組因醫療條件、傢屬因素及急救延誤等原因,在密切鑑護患者病情情況下給予延遲機械通氣治療,比較2組患者有創機械通氣治療後血氣分析結果,以及患者通氣時間、住院時間等指標.結果 有創機械通氣治療後,早期組患者氧閤指數指標高于晚期組,PaCO2指標低于晚期組患者,差異有統計學意義(P＜0.05);早期組患者有創機械通氣時間、總機械通氣時間、住院時間明顯低于晚期組,差異有統計學意義(P＜0.05).結論 若老年COPD患者符閤有創機械通氣指徵則應早期進行有創機械通氣,可顯著改善患者呼吸功能,併降低患者機械通氣時間,減少患者住院時間及經濟壓力,具有臨床應用及推廣價值.
목적 탐토노년만성조새성폐질병급성가중기(AECOPD)환자행유창궤계통기적최가시궤,병대기위험인소진행분석.방법 사선2014년1월지2015년1월신강유오이자치구직업병의원수치적노년COPD환자86례작위연구대상.근거환자유창궤계통기시궤장기분위조기조(n=42)여만기조(n=44),2조환자기출자료비교차이무통계학의의,균접수상규항감염、해경련、평천、거담、인류이급영양지지등조시,기중조기조환자급여조기궤계통기,만기조인의료조건、가속인소급급구연오등원인,재밀절감호환자병정정황하급여연지궤계통기치료,비교2조환자유창궤계통기치료후혈기분석결과,이급환자통기시간、주원시간등지표.결과 유창궤계통기치료후,조기조환자양합지수지표고우만기조,PaCO2지표저우만기조환자,차이유통계학의의(P＜0.05);조기조환자유창궤계통기시간、총궤계통기시간、주원시간명현저우만기조,차이유통계학의의(P＜0.05).결론 약노년COPD환자부합유창궤계통기지정칙응조기진행유창궤계통기,가현저개선환자호흡공능,병강저환자궤계통기시간,감소환자주원시간급경제압력,구유림상응용급추엄개치.
Objective To investigate the senile acute exacerbation of chronic obstructive pulmonary disease (AECOPD) patients have the best time of mechanical ventilation, and the risk factors were analyzed in different periods.Methods Eighty-six elderly patients with chronic obstructive pulmonary disease screening in 2014 January to 2015 January in our hospital patients as the research object.According to the patients with invasive mechanical ventilation time will be divided into early stage group (n =42) and late group (n = 44), there is no significant difference between two groups of patients received conventional basic data, anti infection, spasmolysis, asthma, expectorant, drainage and nutritional support measures, including the early group of early mechanical ventilation, advanced group close monitoring of patients and delayed mechanical ventilation, blood gas analysis results were compared between the two groups after treatment ,and patients with ventilation time, hospitalization time and other indicators.Results After the treatment group of patients with early oxygenation index index is higher than the late group, but the partial pressure of carbon dioxide index is lower than the late group, has statistical significance (P ＜0.05).Group of patients with early invasive mechanical ventilation time, total mechanical ventilation time, hospitalization time was significantly lower than the late group, has statistical significance (P ＜ 0.05).Conclusions If the patients with invasive mechanical ventilation indications should be early invasive mechanical ventilation for AECOPD, can significantly improve patients' respiratory function and blood biochemical index, and reduce the time of mechanical ventilation patients,reduce hospitalization time and economic pressure of patients, with clinical application and popularization value.
