BiPAP通气在老年慢性阻塞性肺疾病合并冠心病患者治疗中应用效果体会.docVIP

BiPAP通气在老年慢性阻塞性肺疾病合并冠心病患者治疗中应用效果体会 　　【摘要】 目的 探讨老年慢性阻塞性肺疾病合并冠心病患者采用双水平气道正压（BiPAP）通气的临床疗效。方法 108例老年慢性阻塞性肺疾病合并冠心病患者， 将其随机分为观察组与对照组， 各54例。 　　两组均予以抗感染、祛痰等常规治疗措施， 观察组患者在此基础上予以BiPAP通气治疗。观察两组治疗后的血气指标以及肺功能的恢复情况。结果 两组治疗后pH、动脉血氧分压（PaO2）、动脉血氧饱和度（SaO2）较治疗前明显上升（P0.05）， 且观察组上升趋势优于对照组（P0.05）；观察组患者治疗后一秒钟用力呼气容积占预计值百分比（FEV1%）、用力肺活量占预计值百分比（FVC%）均显著高于对照组（P0.05）。 　　结论 BiPAP通气对老年慢性阻塞性肺疾病合并冠心病患者具有更好的临床疗效， 改善了患者的血氧指标， 促进肺功能的恢复， 可临床推广。 　　【关键词】 慢性阻塞性肺疾病；冠心病；双水平气道正压通气；临床疗效 　　DOI：10.14163/j.cnki.11-5547/r.2016.15.018 　　【Abstract】 Objective To investigate clinical effect by bi-level positive airway pressure （BiPAP） in the treatment of senile chronic obstructive pulmonary disease complicated with coronary heart disease patients. Methods A total of 108 senile chronic obstructive pulmonary disease complicated with coronary heart disease patients were randomly divided into observation group and control group， with 54 cases in each group. Both groups received anti-infection， and eliminating phlegm therapy， and the observation group received additional BiPAP. Blood gas indexes and pulmonary function recovery after treatment were observed in both groups. Results Both group had increased pH， arterial partial pressure of oxygen （PaO2） and arterial oxygen saturation （SaO2） after treatment （P0.05）， and those in the observation group were better than the control group （P0.05）. The observation group had much higher forced expiratory volume in 1 second percentage of predicted value （FEV1%） and forced vital capacity percentage of predicted value （FVC%） than the control group （P0.05）. Conclusion BiPAP provdes precise effect for senile chronic obstructive pulmonary disease complicated with coronary heart disease patients. This method improves blood oxygen index and accelerate pulmonary function， and it is worth clinical promotion. 　　【Key words】 Chronic obstructive pulmonary disease； Coronary heart disease； Bi-level positive airway pressure； Clinical effect 　　慢性阻塞性肺疾病（chronic obstructive pulmonary diseas