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无创呼吸机治疗慢性阻塞性肺疾病合并严重Ⅱ型呼吸衰竭临床观察 被引量:1

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摘要 目的:评估鼻(面)罩无创正压通气(NIPPV)辅助治疗慢性阻塞性肺疾病(COPD)合并严重Ⅱ型呼吸衰竭的疗效。方法:50例COPD急性加重期合并呼吸衰竭患者,随机分为常规治疗的对照组及应用双水平无创正压呼吸机辅助通气治疗的治疗组。结果:NIPPV能够改善患者血气,治疗组与对照组比较差异有统计学意义(P<0.01),同时治疗组间差异均有统计学意义(P<0.05),治疗成功率达88%。结论:NIPPV治疗COPD合并严重Ⅱ型呼衰竭的效果肯定,可明显提高患者血气的pH值及PaO2,同时可降低PaCO2,使通气功能和缺氧体征得到明显改善。
作者 于秋晶
出处 《中国社区医师(医学专业)》 2010年第8期49-50,共2页
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  • 1谷伟,孙丽华,乔岩.非侵入性通气治疗慢性阻塞性肺疾病合并呼吸衰竭的进展[J].中国呼吸与危重监护杂志,2003,2(4):243-245. 被引量:17
  • 2Anthonisen NR,Manfreda J,Warren CPW,et al.Antibiotic therapy in exacerbations of chronic obstructive pulmonary disease[J].Ann Intern Med,1987,106 (2):196 -204.
  • 3Celli BR,MacNee W,Agusti A,et al.Standards for diagnosis and treatment of patients with COPD:a summary of the ATS/ERS position paper[J].Eur Respir J,2004,23 (6):932-946.
  • 4Burge S,Wedzicha JA.COPD exacerbations:definitions and classifications[J].Eur Respir J,2003,41 (Suppl):46-53.
  • 5Global Initiative for Chronic Obstructive Pulmonary Disease.Global strategy for the diagnosis,management and prevention of chronic obstructive pulmonary disease,Executive Summary[EB/OL].Available at:www.goldcopd.com.2005.
  • 6Sethi S,Evans N,Grant B,et al.New strains of bacteria and exacerbations of chronic obstructive pulmonary disease[J].N Engl J Med,2002,347:465-471.
  • 7Rogriguez-Roisin R.COPD exacerbations 5:management[J].Thorax,2006,61:535-544.
  • 8Singh JM,Palda VA,Stanbrook MB,et al.Corticosteroid therapy for patients with acute exacerbations of chronic obstructive pulmonary disease:a systematic review[J].Arch Intern Med,2002,162 (12):2527-2536.
  • 9Maltais F,Ostinali J,Bourbeau J,et al.Comparison of nebulized budesonide and oral prednisolone with placebo in the treatment of acute exacerbations of chronic obstructive pulmonary disease:a randomized controlled trial[J].Am J Respir Crit Care Med,2002,165:698-703.
  • 10Keenan SP,Gregor J,Sibbald WJ,et al.Noninvasive positive pressure ventilation in the setting of severe,acute exacerbations of chronic obstructive pulmonary disease:more effective and less expensive[J].Crit Care Med,2000,28:2094-2102.

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