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 刘行仁.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 刘行仁 刘行仁 邹俊 杨阳 　　（四川省医学科学院middot;四川省人民医院呼吸科 四川 成都 610072） 　　【摘要】 目的：分析无创呼吸机治疗慢性阻塞性肺疾病合并呼吸衰竭的疗效，在临床中具有意义。方法：筛选我院治疗的慢性阻塞性肺疾病合并II型呼吸衰竭患者80例，随机分为呼吸机观察组（40例）与对照组（40例）。两组经吸氧治疗、祛痰、抗感染、支气管舒张剂、呼吸兴奋剂、糖皮质激素，改善水电解质酸碱失衡，供给营养，支持等治疗。观察组在以上治疗的背景中联合无创呼吸机，比较两组治疗前后心率、血气分析变化、呼吸频率。结果：观察组患者在治疗后PCO2、PO2、SO2指标改善情况高于对照组，（P＜0.05）。观察组住院时间小于对照组（P＜0.05），同时住院费低于对照组（P＜0.05）。结论：采取无创呼吸机治疗能够高效改善慢性阻塞性疾病合并呼吸衰竭，降低吸氧肌耗氧，改善呼吸肌疲劳，提升治疗效率，降低医疗费用，在临床中值得推广。 　　【关键词】 无创呼吸机；慢性阻塞性肺疾病；呼吸衰竭 　　【中图分类号】R563 【文献标识码】A 【文章编号】2095-1752（2016）24-0171-02 　　 　　the efficacy of Non-invasive ventilation in the treatment of chronic obstructive pulmonary disease with respiratory failure 　　Liu XingRen,Zou Jun,Yang Yang 　　Department of Respiratory Medicine,Sichuan Academy of Medical Sciences amp; Sichuan Provincial Peoplersquo;s Hospital,Chengdu 610072,China 　　【Abstract】 Objective To analyze the efficacy of Non-invasive ventilation in the treatment of chronic obstructive pulmonary disease with respiratory failure. Methods selected 80 cases of patients with chronic obstructive pulmonary disease and type II respiratory failure in our hospital. They were randomly divided into observation group (40 cases) and control group (40 cases). Control group were taken oxygen therapy, expectorant, antibiotics, bronchodilators, respiratory stimulants, corticosteroids, improve water and electrolyte acid-base imbalance, supply nutrition and support therapy. Based on the above treatment, the observation group used ventilator. Compare heart rate, changes in blood gas analysis, respiratory rate of the two groups before and after treatment. Results the improvement of PCO2, PO2 and SO2 indexes in the observation group were higher than that in the control group (P lt; 0.05). The hospitalization time of observation group was shorter than that of control group (P lt; 0.05), and the hospitalization cost was lower than that of control group (P lt; 0.05). Conclusion taking non