摘要
目的 :探讨用中西医结合疗法治疗慢性阻塞性肺疾病(简称慢阻肺)急性加重期(AECOPD)合并Ⅱ型呼吸衰竭的临床效果。方法 :将2014年1月至2017年1月期间在富顺县中医医院接受治疗的76例AECOPD合并Ⅱ型呼吸衰竭患者分为对照组和研究组。对两组患者均进行常规治疗。为对照组患者采用无创呼吸机进行治疗,为研究组患者采用中药联合无创呼吸机进行治疗。然后,比较两组患者的生命体征、PaO_2(动脉血氧分压)的水平、PaCO_2(血二氧化碳分压)的水平、进行机械通气治疗的时间及住院的时间。结果 :治疗后,两组患者呼吸的频率、心率及PaCO_2的水平与治疗前相比均有所降低,其PaO_2的水平与治疗前相比有所提高(P <0.05)。研究组患者进行机械通气治疗的时间、住院的时间均短于对照组患者(P <0.05)。结论 :用中西医结合疗法治疗慢性阻塞性肺疾病急性加重期合并Ⅱ型呼吸衰竭的临床效果显著。
Objective:To study the use of Chinese and western medicine combined therapy for chronic obstructive pulmonary disease(copd)acute exacerbation period(AECOPD)the clinical effect of combined typeⅡrespiratory failure.Methods:between January 2014 and January 2017 in FuShun County TCM hospital during the period of 76 patients with AECOPD combined type Ⅱ respiratory failure were divided into control group and the team.Conventional treatment on two groups of patients.For the control group were treated by noninvasive ventilator treatment,for noninvasive ventilator group were treated by traditional Chinese medicine union treatment.Then,to compare two groups of patient’s vital signs,PaO2(arterial blood oxygen partial pressure)levels,PaCO2 co2 partial pressure(blood)level,time of mechanical ventilation treatment and hospitalization time.Results:after treatment,two groups of patients with the frequency of breathing,heart rate and PaCO2 level has decreased compared with before treatment,the level of its PaO2 improved compared with before treatment(P<0.05).Research on patients with mechanical ventilation treatment time,hospitalization time were shorter than the control group patients(P<0.05).Conclusion:combine traditional Chinese and western medicine therapy for chronic obstructive pulmonary disease with acute aggravating period with Ⅱtype of respiratory failure in clinical effect is remarkable.
作者
王艳平
Wang Yanping(FuShun County TCM hospital,Fushun Sichuan 643200)
关键词
中药
无创呼吸机
AECOPD
Ⅱ型呼吸衰竭
Chinese medicine
Noninvasive ventilator
AECOPDp
Ⅱtype of respiratory failure
