慢性阻塞性肺疾病急性加重期呼吸衰竭无创呼吸机治疗临床分析.docVIP

精品论文 参考文献 慢性阻塞性肺疾病急性加重期呼吸衰竭无创呼吸机治疗临床分析 林少芳 付东红 　　（昆明市第一人民医院干疗科 云南昆明 650011） 　　【摘要】目的 探讨慢性阻塞性肺疾病（COPD）急性加重期呼吸衰竭无创呼吸机治疗的临床效果。方法 抽取我院2011年1月份到2013年1月份收治的52例慢性阻塞性肺疾病急性加重期呼吸衰竭患者作为研究对象，并随机分为对照组和观察组，每组26例，给予对照组常规治疗，并在此基础上，给予观察组无创呼吸机治疗，分析并比较两组临床治疗结果。结果 经治疗后发现，两组患者的酸碱度（pH）、氧分压（PaO2）和二氧化碳分压(PaCO2)等指标均比治疗前有所改善，比较差异有统计学意义（P＜0.05），并且治疗后观察组各指标明显要优于对照组，比较差异有统计学意义（P＜0.05）。结论 给予慢性阻塞性肺疾病急性加重期呼吸衰竭患者无创呼吸机治疗，不但可以帮助患者纠正缺氧及呼吸性酸中毒，同时还可有效缓解二氧化碳潴留，临床治疗效果相对较好，值得进一步推广使用。 　　【关键词】 慢性阻塞性肺疾病 急性加重期 呼吸衰竭 无创呼吸机 　　【中图分类号】R563 【文献标识码】A 【文章编号】2095-1752（2014）03-0187-02 　　Chronic obstructive pulmonary disease with acute exacerbation of respiratory failure, noninvasive ventilator therapy clinical analysis 　　【Abstract】Objective : To investigate the chronic obstructive pulmonary disease (COPD) with acute exacerbation of respiratory failure in non-invasive ventilation in the treatment of clinical effect. Methods: 52 cases of extraction of chronic obstructive pulmonary disease with acute hospital in January 2011 to January 2013 admitted to the exacerbation of respiratory failure patients as research subjects were randomly divided into control group and observation group , 26 cases in each group , giving control conventional treatment group , and on this basis, given the observation group noninvasive ventilator treatment , the two groups were analyzed and compared clinical outcomes . Results: After treatment, found that both groups of patients acidity (pH), partial pressure of oxygen (PaO2) and carbon dioxide partial pressure (PaCO2) and other indicators improved than before treatment , the difference was statistically significant (P lt;0.05) , and the observation group after treatment, each index is significantly better than the control group, the difference was statistically significant (P lt;0.05). Conclusion: Chronic obstructive pulmonary disease given acute exacerbation of respiratory failure in patients with non-invasive ventilator thera