摘要
目的：通过临床实践，系统分析舒利迭联合无创双水平正压通气和舒利迭联合有创双水平正压通气在预防老年COPD合并Ⅱ型呼吸衰竭的临床疗效，加强对老年COPD合并Ⅱ型呼吸衰竭预防的认识，有效降低老年COPD合并Ⅱ型呼吸衰竭的发病率和死亡率。方法：随机选取我院的60例明确诊断的老年COPD合并Ⅱ型呼吸衰竭者作为研究对象，按照随机分组的原则，分为对照组和实验组，实验组采用舒利迭联合无创双水平正压通气的方法，对照组采用舒利迭联合有创双水平正压通气的方法，1周后复查胸部X片和血气生化指标，了解COPD患者合并呼吸衰竭的恢复情况，采取两独立样本T检验的统计学方法。结果：实验组比对照组的治愈率要高，经统计学分析，两者之间的治愈率差异有统计学意义（ P值为0．036）。结论：舒利迭联合无创双水平正压通气和舒利迭联合有创双水平正压通气在预防和治疗老年 COPD合并Ⅱ型呼吸衰竭方面，都有积极的作用，但是舒利迭联合无创双水平正压通气更能有效的预防和治疗 COPD患者合并呼吸衰竭的临床症状，缓解病情进一步恶化。
Objective：Clinical practice , systems analysis Seretide joint BiPAP noninvasive and invasive joint Seretide BiPAP clinical efficacy in the prevention of elderly COPD patients with type Ⅱrespiratory failure , COPD combined to strengthen the elderly Ⅱrespiratory failure prevention awareness , reduce elderly COPD with type Ⅱrespiratory failure morbidity and mortality .Randomly selected 60 patients in our hospital diagnosed elderly COPD with type Ⅱrespiratory failure as an object of study , according to the principle of randomization , were divided into control and experimental groups , the experimental group Seretide combined noninvasive bi -level positive airway pressure the method of the control group , Seretide joint BiPAP invasive methods ,One week after the review of chest X -ray and blood bio-chemical indicators to understand COPD patients with respiratory failure recovery , statistical methods take two independent samples T test .Results：The cure rate is higher than the control group , the statistical analysis , the cure rate is the difference between the two was statis-tically significant （ P value of 0.036 ） .Conclusion：Seretide combined noninvasive bi -level positive airway pressure ventilation and in-vasive Seretide joint bi -level positive airway pressure ventilation in the prevention and treatment of elderly COPD combined with type Ⅱrespiratory failure , have a positive effect , but combined noninvasive double Seretide BiPAP more effective prevention and treatment of COPD patients with respiratory failure symptoms , alleviate further deterioration .
出处
《中国伤残医学》
2014年第11期24-25,共2页
Chinese Journal of Trauma and Disability Medicine
关键词
正压通气
Ⅱ型呼吸衰竭
疗效评价
COPD
Positive pressure ventilation
COPD
type Ⅱrespiratory failure
Evaluation
