无创呼吸机辅助通气治疗慢性阻塞性肺疾病的疗效.pdf

CHINESECOMMUNITY DOCTORS 论著·临床论坛 无创呼吸机辅助通气治疗慢性阻塞性肺疾病的疗效 何滨 665000云南省普洱市人民医院 doi:10.3969/j.issn.1007-614x.2016.6.19 摘 要 目的：探讨无创呼吸机辅助通气治疗慢性阻塞性肺疾病的疗效。方法：收治慢性阻塞性肺疾病患者82例， 随机分为观察组与对照组各41例。对照组采取常规治疗办法，观察组在对照组的基础上采取无创呼吸机辅助通气治 疗，对比分析两组的治疗效果。结果：观察组各项指标的改善程度明显优于对照组，与治疗前比较，两组各项指标皆 有明显的改善，差异存在统计学意义(P＜0.05)。观察组总有效率明显高于对照组(P＜0.05)。结论：采用无创呼吸机辅 助通气治疗慢性阻塞性肺疾病效果显著，对患者术后各项指标的改善以及治疗效果具有积极的促进作用。 关键词 无创呼吸机；通气治疗；慢性阻塞性肺疾病 Efficacystudyofnoninvasiveventilatorassistedventilationinthetreatmentofchronicobstructivepulmonarydisease HeBin ThePeoplesHospitalofPuerCity,YunnanProvince665000 Abstract Objective:Toexploretheefficacyofnoninvasiveventilationinthetreatmentofchronicobstructivepulmonarydisease. Methods:82patientswithchronicobstructivepulmonarydiseasewereselected.Theywererandomlydividedintotheobservation groupandthecontrolgroupwith41casesineachgroup.Thecontrolgroupweregiventheconventionaltreatment.Theobservation groupweretreatedwithnoninvasiveventilationonthebasisofthecontrolgroup.Wecomparedandanalyzedthetreatmenteffect oftwogroups.Results:Theimprovementoftheindicatorsintheobservationgroupweresignificantlybetterthanthoseofthecontrol group.Comparedwiththetreatmentbefore,twogroupshadsignificantimprovementintheindicators,andthedifferencewas statisticallysignificant(P＜0.05).Thetotaleffectiverateoftheobservationgroupwassignificantlyhigherthanthatofthecontrol group(P＜0.05).Conclusion:Theeffectofnoninvasiveventilationinthetreatmentofchronicobstructivepulmonarydiseaseis significant,andithasapositiveeffectontheimprovementofthepatientsandthetreatmenteffect. Keywords Noninvasiveventilator;ventilation;Chronicobstructivepulmonarydisease 慢性阻塞性肺疾病是一种慢性支气 (16.1±3.1)年。两组年龄、性别、病程等 咳痰，可依据情况进行短暂的停歇。一 管炎，且具有气流阻塞特征，患病的人 一般资料的差异均无统计学意义(P＞ 般通气时间依据患者的具体病情而定， 数较多，死亡率较高，对患者的工作以 0.05)