摘要
目的研讨老年慢阻肺(COPD)相关肺动脉高压患者接受无创正压通气技术治疗的临床价值。方法选取我院近2年收诊的74例老年COPD相关肺动脉高压患者参与实验观察,并按随机抽签法分组,Ⅰ组(n=37)接受常规基础治疗,Ⅱ组(n=37)配合无创正压通气技术治疗,对比评估两组治疗对患者病情的改善状况。结果治疗前,两组在肺动脉压、脑钠肽指标上的对比,无统计学意义(P> 0.05);治疗后,Ⅱ组的肺动脉压、脑钠肽水平相比Ⅰ组均显著降低,有统计学意义(P<0.05)。两组治疗后各项血气指标的对比,Ⅱ组均优于Ⅰ组,比较有统计学意义(P<0.05)。结论对老年COPD相关肺动脉高压患者使用无创正压通气辅助治疗有显著效果,值得推荐。
Objective To investigate the clinical value of non-invasive positive pressure ventilation in elderly patients with chronic obstructive pulmonary disease (COPD)-related pulmonary hypertension.Methods Seventy four elderly patients with pulmonary hypertension associated with COPD who were admitted to our hospital in the past 2 years were enrolled in the study and randomized by random sampling.Group Ⅰ (n=37)received routine basic therapy and group Ⅱ (n=37)cooperated.Non-invasive positive pressure ventilation technique was used to compare and evaluate the improvement of patients'condition in the two groups.Results Before treatment,there was no significant difference in pulmonary arterial pressure and brain natriuretic peptide between the two groups (P>0.05). After treatment,the pulmonary artery pressure and brain natriuretic peptide levels in group Ⅱ were significantly lower than those in group Ⅰ.Statistically significant (P<0.05).The blood gas indexes of the two groups after treatment were better than those of group Ⅰ,which was statistically significant (P<0.05).Conclusion The use of non-invasive positive pressure ventilation in the treatment of elderly patients with COPD-related pulmonary hypertension has significant effect and is worthy of recommendation.
作者
李生鹏
杨彩彩
LI Sheng-peng;YANG Cai-cai(The People's Hospital of Wensu County,Akesu,Xinjiang 843100)
出处
《智慧健康》
2018年第28期117-118,共2页
Smart Healthcare
关键词
COPD
肺动脉高压
无创正压通气
临床价值
COPD
Pulmonary hypertension
Noninvasive positive pressure ventilation
Clinical value
