无创呼吸机治疗慢性阻塞性肺疾病合并呼吸衰竭疗效观察 李纲.docVIP

精品论文 参考文献 无创呼吸机治疗慢性阻塞性肺疾病合并呼吸衰竭疗效观察 李纲 （四川省成都市西区医院 四川 成都 610036） 【摘 要】目的：观察无创呼吸机治疗慢性阻塞性肺疾病合并呼吸衰竭的临床疗效。方法：将我院收治的54例COPD合并呼吸衰竭患者随机分为观察组27例和对照组27例。对照组患者行常规治疗，观察组患者在常规治疗的基础上行无创机械通气治疗。统计并对比分析2组患者治疗前和治疗72h后的血气指标、肺功能指标；以及住ICU时间、总住院时间及1年内复发率。结论：治疗后72h，观察组患者的呼吸频率和PaCO2低于对照组（P＜0.05），PaO2和SaO2高于对照组（P＜0.05），FVC、FFV1%、MEF50%指标平均值均高于对照组（P＜0.05）。同时，观察组患者的平均住ICU时间、总住院时间均短于对照组（P＜0.05）；患者1年内复发率低于对照组（P＜0.05）。结论：在常规治疗的基础上辅助无创呼吸机治疗能有效改善慢性阻塞性肺疾病合并呼吸衰竭患者的血气指标及肺功能，缩短治疗时间，并降低病情复发率，值得临床推广与应用。 【关键词】慢性阻塞性肺疾病；呼吸衰竭；无创呼吸机；机械通气 【中图分类号】R563.8 【文献标识码】B 【文章编号】1003-5028（2015）7-0210-02 To observe the effect of noninvasive ventilation in the treatment of chronic obstructive pulmonary disease with respiratory failure 【Abstract】Objective: To observe the effect of noninvasive ventilation in the treatment of chronic obstructive pulmonary disease with respiratory failure. Method: to divide randomly 54 patients of COPD complicated with respiratory failure in our hospital as observation group 27 cases and control group with 27 cases. Patients in the control group received conventional treatment, observation group patients in the conventional treatment on the basis of noninvasive mechanical ventilation in the treatment of. Statistics and comparative analysis of pulmonary function, blood gas indexes of 2 groups of patients before treatment and after treatment of 72h; and ICU stay time, hospitalization time and the recurrence rate within 1 years. Conclusion: 72h after treatment, the patients in observation group of respiratory frequency and PaCO2 lower than the control group (P lt; 0.05), PaO2 and SaO2 higher than that of the control group (P lt; 0.05), FVC, FFV1%, MEF50% index mean value is higher than that of the control group (P lt; 0.05). At the same time, the patients in observation group the average length of stay in ICU, total hospitalization time was shorter than the control group (P lt; 0.05); in 1 years recurrence rate was lower than the control group (P lt; 0.05). Conclusion: on