摘要
目的:探究慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者应用无创通气治疗的临床疗效。方法:选择笔者所在医院2011年1月-2015年12月收治的37例慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者,根据治疗方法不同进行分组,对照组18例采用气管插管治疗,观察组19例采用无创通气治疗,比较两组患者呼吸改善情况、治疗效果及并发症情况。结果:观察组患者治疗24 h后HR(90.17±5.08)次/min、BR(21.18±2.35)次/min、PaO_2(83.75±5.74)mm Hg、PaCO_2(42.65±7.51)mm Hg,均显著优于对照组(P<0.05)。对照组治疗总有效率为72.22%,观察组总有效率为94.74%,观察组患者治疗总有效率显著高明显高于对照组,比较差异有统计学意义(P<0.05)。对照组并发症发生率为27.77%,死亡率为11.11%;观察组并发症发生率为10.53%,死亡率为0。结论:无创通气治疗可减小对慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者呼吸道的损伤,改善患者血气分析指标,帮助患者恢复自主呼吸能力,降低并发症发生率,显著提高患者的抢救成功率。
Objective：To explore the clinical efficacy of noninvasive ventilation in patients with chronic obstructive pulmonary disease combined with type Ⅱ respiratory failure.Method：From January 2011 to December 2015,37 patients of chronic obstructive pulmonary disease combined with type Ⅱ respiratory failure treated in our hospital were enrolled in this study.According to the different treatment methods,18 patients in the control group were treated with tracheal intubation and 19 patients in the observation group were treated noninvasive ventilation treatment,respiratory improvement,therapeutic effect and complication in two groups were compared.Result：The observation group patients after treatment of 24 h of HR（90.17±5.08）times/min,BR（21.18±2.35）times/min,PaO2（83.75±5.74）mm Hg,PaCO2（42.65±7.51）mm Hg,were significantly better than those of the control group（P〈0.05）.In the control group,the total effective rate was 72.22%,in the observation group,the total effective rate was 94.74%,the total effective rate of the observation group was significantly higher than the control group,and the difference was statistically significant（P〈0.05）.The incidence of complications and the mortality rate in the control group were 27.77% and 11.11%;the incidence of complications and the mortality rate in the observation group were 10.53% and 0.Conclusion：Noninvasive ventilation treatment can reduce the risk of respiratory track injury in patients with chronic obstructive pulmonary disease combined with type Ⅱ respiratory failure,improve the patients’ blood gas analysis index,help patients to restore spontaneous breathing capacity,reduce complication rate,significantly improve the rescue success rate of the patients.
出处
《中外医学研究》
2017年第32期25-27,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
慢性肺阻塞性疾病
Ⅱ型呼吸衰竭
无创通气治疗
治疗效果
Chronic obstructive lung disease
Type Ⅱ respiratory failure
Noninvasive ventilation treatment
Treatment effect
