中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
4期
30-31
,共2页
无创正压通气%COPD%急性发作
無創正壓通氣%COPD%急性髮作
무창정압통기%COPD%급성발작
Noninvasive positive pressure ventilation%Chronic obstructive pulmonary disease%Acute attack
目的：探讨无创正压通气治疗慢性阻塞性肺疾病急性加重期的临床疗效。方法：2013年2月-2014年2月收治慢性阻塞性肺疾病急性加重期患者74例，回顾性分析其临床资料。结果：治疗2 h后，治疗组的PaO2、pH值均高于对照组，PaCO2低于对照组，差异均有统计学意义(P＜0.05)。治疗组的症状缓解时间、生命体征恢复平稳时间、住院时间以及气管插管率均低于对照组，差异均有统计学意义(P＜0.05)。结论：无创正压通气治疗慢性阻塞性肺疾病急性加重期的临床疗效显著，具有推广价值。
目的：探討無創正壓通氣治療慢性阻塞性肺疾病急性加重期的臨床療效。方法：2013年2月-2014年2月收治慢性阻塞性肺疾病急性加重期患者74例，迴顧性分析其臨床資料。結果：治療2 h後，治療組的PaO2、pH值均高于對照組，PaCO2低于對照組，差異均有統計學意義(P＜0.05)。治療組的癥狀緩解時間、生命體徵恢複平穩時間、住院時間以及氣管插管率均低于對照組，差異均有統計學意義(P＜0.05)。結論：無創正壓通氣治療慢性阻塞性肺疾病急性加重期的臨床療效顯著，具有推廣價值。
목적：탐토무창정압통기치료만성조새성폐질병급성가중기적림상료효。방법：2013년2월-2014년2월수치만성조새성폐질병급성가중기환자74례，회고성분석기림상자료。결과：치료2 h후，치료조적PaO2、pH치균고우대조조，PaCO2저우대조조，차이균유통계학의의(P＜0.05)。치료조적증상완해시간、생명체정회복평은시간、주원시간이급기관삽관솔균저우대조조，차이균유통계학의의(P＜0.05)。결론：무창정압통기치료만성조새성폐질병급성가중기적림상료효현저，구유추엄개치。
Objective:To explore the effect of noninvasive positive pressure ventilation in the treatment of chronic obstructive pulmonary disease with acute exacerbation.Methods:74 patients with chronic obstructive pulmonary disease with acute exacerbation were selected from February 2013 to February 2014.Clinical data were retrospectively analyzed.Results:After 2 hours treatment,in the treatment group,PaO2 and pH value were all higher than those of the control group;PaCO2 was lower than that of the control group;the differences were statistically significant(P<0.05).In the treatment group,the symptoms remission time, life sign recovery stationary time,hospitalization time and the rate of endotracheal intubation were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusion:The effect of noninvasive positive pressure ventilation in the treatment of chronic obstructive pulmonary disease with acute exacerbation was significant.It was worthy of popularization.
