摘要
目的探究老年COPDⅡ型呼吸衰竭应用无创机械通气联合雾化吸入治疗的临床疗效。方法在该院2017年1月—2018年1月间收治的老年COPDⅡ型呼吸衰竭患者中方便选取120例进行研究分析,随机分为研究组和对照组,各60例。对照组采取常规治疗,研究组在对照组基础上采取Bi PAP无创呼吸机联合雾化吸入治疗。对比两组治疗前后的血气指标。结果治疗后,研究组的Pa CO2(57.8±4.6)mm Hg、Pa O2(97.4±6.7)mm Hg、呼吸频率(21.5±5.9)次/min、心率(89.5±7.5)次/min均优于对照组的Pa CO2(69.7±8.3)mm Hg、Pa O2(79.4±7.5)mm Hg、呼吸频率(23.9±4.5)次/min、心率(97.7±7.8)次/min,对比均差异有统计学意义(t=9.713 6,2.690 3,2.505 4,46.953 1,P<0.05)。结论老年COPDⅡ型呼吸衰竭应用无创机械通气联合雾化吸入治疗,取得了显著的临床治疗效果,值得在临床上广泛推广应用。
Objective To investigate the clinical efficacy of non-invasive mechanical ventilation combined with nebulization in the treatment of COPD type II respiratory failure in the elderly. Methods 120 patients with COPD type II respiratory failure treated in the hospital from January 2017 to January 2018 were convenient selected for study and analysis. They were randomly divided into study group and control group, 60 cases each. The control group received routine treatment. The study group was treated with BiPAP non-invasive ventilator combined with nebulizer inhalation on the basis of the control group. The blood gas indexes before and after treatment in the two groups were compared. Results After treatment, PaCO2 （57.8±4.6）mmHg, PaO2 （97.4±6.7） mmHg, respiratory rate （21.5±5.9）timts/min, and heart rate （89.5±7.5）timts/min in the study group were better than the control group PACO2（69.7±8.3） mmHg, PAO2（79.4±7.5） mmHg, respiratory rate （23.9±4.5） timts/min, heart rate （97.7±7.8）timts/min, all the difference were statistically significant（t=9.713 6, 2.690 3, 2.505 4, 46.953 1, P〈0.05）. Conclusion COPD type II respiratory failure in elderly patients is treated with non-invasive mechanical ventilation combined with nebulizer inhalation. A significant clinical effect has been achieved and it is worthy of widespread application in clinical practice.
作者
石宏伟
SHI Houg-wei(Department of Respiratory,Ganyu District People＇s Hospital,Ganyu,Jiangsu Province,222100 China)
出处
《中外医疗》
2018年第25期24-25,28,共3页
China & Foreign Medical Treatment
关键词
COPD
Ⅱ型呼吸衰竭
老年
无创机械通气
雾化吸入
临床疗效
COPD
Type II respiratory failure
Elderly
Noninvasive mechanical ventilation
Inhalation
Clinical efficacy
