摘要
目的:探讨双水平气道正压通气治疗慢性阻塞性肺病Ⅱ型呼吸衰竭的临床疗效。方法:对35例慢性阻塞性肺病Ⅱ型呼吸衰竭的患者采用双水平气道正压通气进行治疗,分析无创正压通气(NIPPV)治疗前后动脉血pH值、动脉血氧分压(PaO2)、动脉血二氧化碳(PaCO2)、心率(HR)、呼吸频率(RR)等指标的变化。结果:实施NIPPV 3 h后即能改善患者的动脉血pH值、PaO2、PaCO2,减慢HR、RR;治疗72 h后与通气前比较差异有统计学意义(P均<0.01)。结论:使用NIPPV治疗慢性阻塞性肺病Ⅱ型呼吸衰竭疗效确切,且使用时间长效果更好。
Objective： To study the effection of BiPAP therapy on type Ⅱ respiratory failure patients resulted by chronic obstructive pulmonary disease. Method： Artery blood gas analysis were performed for 35 COPD patients under BiPAP therapy before and after ventilation respectively. Results： Succeed rate of NIPPV was 91.43%. Invasive ventilation through endotracheal intubation was given to three patient who was failued in NIPPV therapy, pH, PaO2, PaCO2 were improved prominently after 3 hours ventilation therapy. Conclusion： NIPPV therapy has reliable curative effect on the patients of type Ⅱ respiratory failure in chronic obstructive pulmonary disease （COPD）.
出处
《新疆医科大学学报》
CAS
2006年第7期598-599,共2页
Journal of Xinjiang Medical University
