摘要
目的探讨双水平气道正压无创通气(BiPAP)治疗在肺结核合并Ⅱ型呼衰的治疗作用。方法对48例肺结核合并Ⅱ型呼衰患者采用经面罩双水平气道正压通气,观察治疗前后血气分析的pH值、氧分压(PaO2)、二氧化碳分压(PaCO2)、氧饱和度(SaO2)及收缩压,心率及呼吸频率指标变化。结果 BiPAP无创通气治疗后PaO2、SaO2均明显升高,PaCO2明显降低,pH值、心率及呼吸频率明显改善,差异均有非常显著性(P<0.01)。结论 经面罩双水平气道正压无创通气治疗肺结核合并Ⅱ型呼衰疗效满意,无明显并发症,值得临床推广应用。
Objective This level of noninvasive ventilation airway pressure BiPAP（in） therapy in type Ⅱ pulmonary function failure treatment.Methods Forty-eight cases of failure Ⅱ pulmonary patients using the mask air way positive airway pressure double levels were observed before and after the treatment,the pH,PaO2 flesh analysis,PaCO2,systolic blood pressure,heart rate and SaO2 and respiration indicators.Results PaO2 after treatment significantly increased,SaO2,PaCO2 decreased,pH, heart rate and breathing improved obviously.The difference is very significant（P0.01）.Conclusion The mask airway pressure double horizontal merger noninvasive ventilation type of pulmonary tuberculosis Ⅱ failure had no obvious complicated effect.It is worth introducing.
出处
《实用临床医药杂志》
CAS
2011年第3期56-58,共3页
Journal of Clinical Medicine in Practice
关键词
双水平气道正压无创通气
肺结核
Ⅱ型呼吸衰竭
double horizontal pressure noninvasive ventilation
tuberculosis
Ⅱ type of respiratory failure
