CAJ | 학술논문

目的：探讨无创呼吸机联合纳洛酮治疗慢性阻塞性肺疾病并发Ⅱ型呼吸衰竭的临床效果。方法将我院2012年1月～2014年1月收治的慢性阻塞性肺疾病并发呼吸衰竭患者100例，随机分为观察组和对照组各50例。对照组采用抗感染、解痉、平喘、利尿等常规治疗，并给予无创呼吸机治疗。观察组在对照组基础上加用纳洛酮治疗，比较两组患者的临床效果。结果观察组的总有效率为90.0%，对照组为74.0%，两组有显著性差异(P<0.05)。结论无创呼吸机联合纳洛酮治疗慢性阻塞性肺疾病并发呼吸衰竭的效果满意，值得推广。
목적：탐토무창호흡궤연합납락동치료만성조새성폐질병병발Ⅱ형호흡쇠갈적림상효과。방법장아원2012년1월～2014년1월수치적만성조새성폐질병병발호흡쇠갈환자100례，수궤분위관찰조화대조조각50례。대조조채용항감염、해경、평천、이뇨등상규치료，병급여무창호흡궤치료。관찰조재대조조기출상가용납락동치료，비교량조환자적림상효과。결과관찰조적총유효솔위90.0%，대조조위74.0%，량조유현저성차이(P<0.05)。결론무창호흡궤연합납락동치료만성조새성폐질병병발호흡쇠갈적효과만의，치득추엄。
Objective To explore the clinical effect of non invasive Ventilator Combined with naloxone in treatment of chronic obstructive pulmonary disease complicated with type Ⅱrespiratory failure. Methods 100 patients with chronic obstructive pulmonary disease complicated with respiratory failure in our hospital from 2012 January to 2014 January were patients, randomly divided into observation group and control group with 50 cases in each. The control group was treated with routine anti infection, spasmolysis, antiasthmatic, diuretic, and give the noninvasive ventilator. The observation group in the control group based on the use of naloxone therapy, clinical effect comparison of two groups of patients. Results the total effective rate of observation group was 90%, 74% in the control group, there was significant difference between two groups (P< 0.05). Conclusion noninvasive ventilation combined with naloxone in treatment of chronic obstructive pulmonary disease complicated with respiratory failure with satisfactory effect, worthy of promotion.