摘要
目的:探讨无创通气在慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭治疗中的作用。方法:将慢性阻塞性肺疾病(COPD)合并Ⅱ型呼吸衰竭患者46例随机分为两组,对照组21例给予常规治疗,治疗组25例同时给予BiPAP无创通气治疗,观察两组治疗前后患者的意识、呼吸、心率、血气分析指标。结果:治疗后两组临床症状、血气分析指标均有改善,而治疗组各项指标改善程度优于对照组(P<0.05)。结论:适时正确的使用无创正压通气,配合相应护理措施,可以有效治疗COPD合并Ⅱ型呼吸衰竭,避免气管插管。
Objective To explore the application of non-invasive ventilation in chronic obstructive pulmonary disease（COPD） combined with respiratory failure.Methods 46 cases of chronic obstructive pulmonary disease（COPD） combined with respiratory failure were randomly divided into two groups：control group（n=21） with routine medication and experiment group（n=25）,with bi-level positive airway pressure based on routine medication,to observe the patient＇s consciousness,breath,heart rate,and blood gas analysis before and after the treatment.Results After treatments,the clinical symptom,blood gas analysis of these two groups are noticeable changes.And all the index of experiment group are more improvement than control group（P0.05）.Conclusion Non-invasive positive airway pressure is utility method in treatment of COPD combined with typeⅡ respiratory failure,together with relative nursing intervention,to avoid tracheal intubation.
出处
《吉林医学》
CAS
2011年第11期2090-2092,共3页
Jilin Medical Journal
关键词
慢性阻塞性肺疾病
Ⅱ型呼吸衰竭
无创通气
Chronic obstructive pulmonary disease
TypeⅡrespiratory failure
Non-invasive ventilation
