摘要
目的研究分析无创呼吸机治疗慢性阻塞性肺疾病(COPD)合并呼吸衰竭的临床效果。方法从本院2015年1月~2016年10月收治的慢性阻塞性肺疾病合并呼吸衰竭患者中,选取70例患者纳入此研究领域中,按照入院顺序,单号作为对照组(n=35),双号作为观察组(n=35),对照组实施常规治疗,观察组在常规治疗基础上采用无创呼吸机治疗。结果 (1)观察组患者的PaO_2、SaO_2水平高于对照组,HR、PaCO_2水平低于对照组(P<0.05);(2)观察组患者住院时间短于对照组,再入院次数少于对照组(P<0.05);(3)观察组患者并发症发生率5.71%,明显低于对照组的22.86%(P<0.05)。结论慢性阻塞性肺疾病合并呼吸衰竭患者采用无创呼吸机治疗,有利于减少呼吸肌耗氧,改善呼吸肌疲劳,缩短住院时间,减少再入院次数,并发症少,安全性高,最终提高患者临床治疗效果。
Objective To study the clinical effect of noninvasive ventilation in the treatment of chronic obstructivepulmonary disease(Chronic obstructive pulmonary disease,COPD)in patients with respiratory failure.Methods70patients with chronic obstructive pulmonary disease combined with respiratory failure cured in our hospital fromJanuary2015to October2016year were enrolled in this study.According to the order of admission number,the patientswith odd number were divided into control group(n=35),and patients with even number were divided into observationgroup(n=35).Patients in control group were treated with routine treatment,and patients in observation group weretreated with the conventional treatment based on the use of noninvasive call Suction machine treatment.Results(1)The PaO2,SaO2levels in observation group were higher than those in control group,and HR,PaCO2levels in observationgroup were lower than those in control group(P<0.05).(2)Hospitalization time in observation group was shorter thanthat in control group,the readmission rate in observation gorup was less than that in control group(P<0.05).(3)Theincidence of complications in observation group was5.71%,which was significantly lower than that of control groupwith22.86%(P<0.05).Conclusion Noninvasive ventilation in the treatment of patients with chronic obstructivepulmonary disease combined with respiratory failure can reduce respiratory muscle oxygen consumption,improverespiratory muscle fatigue,shorten hospitalization time,and reduce readmission times.It has few complications and highsafety.It can improve the clinical treatment effect.
作者
黄碧连
HUANG Bilian(NO.157 Branch of Genenral Hospital of Guangzhou Military Command,Guangzhou 510510,China)
出处
《中国医药科学》
2017年第13期186-188,共3页
China Medicine And Pharmacy
关键词
慢性阻塞性肺疾病
呼吸衰竭
无创呼吸机
临床效果
并发症
Chronic obstructive pulmonary disease
Respiratory failure
Noninvasive ventilator
Clinical effect
Complication
