双水平气道正压通气联合噻托溴铵吸入对老年慢性阻塞性肺疾病稳定期疗效分析.docVIP

双水平气道正压通气联合噻托溴铵吸入对老年慢性阻塞性肺疾病稳定期疗效分析 　　【摘要】 目的 探讨双水平气道正压通气联合噻托溴铵吸入治疗老年慢性阻塞性肺疾病稳定期的疗效。方法 95例老年慢性阻塞性肺疾病稳定期患者， 按随机数字表法分为对照组（双水平气道正压通气治疗）47例与观察组（双水平气道正压通气联合噻托溴铵吸入治疗）48例。比较两组的治疗效果。结果 观察组患者肺功能改善情况优于对照组， 治疗总有效率高于对照组， 差异均具有统计学意义（P0.05）。结论 双水平气道正压通气联合噻托溴铵吸入在治疗老年慢性阻塞性肺疾病稳定期中安全有效， 具有推广价值。 　　【关键词】 双水平气道正压通气；噻托溴铵；吸入治疗；老年；慢性阻塞性肺疾病；稳定期 　　DOI：10.14163/j.cnki.11-5547/r.2016.03.012 　　Analysis of curative effect by bi-level positive airway pressure ventilation combined with tiotropium inhalation in the treatment of senile chronic obstructive pulmonary disease at stable phase HE Xiao-chen. Second Department of Internal Medicine， China Pingmei Shenma Group Occupational Disease Precaution Hospital， Pingdingshan 467000， China 　　【Abstract】 Objective To investigate curative effect by bi-level positive airway pressure ventilation combined with tiotropium inhalation in the treatment of senile chronic obstructive pulmonary disease at stable phase. Methods A total of 95 senile patients with chronic obstructive pulmonary disease at stable phase were divided by random number table into control group （bi-level positive airway pressure ventilation for treamtent） with 47 cases and observation group （bi-level positive airway pressure ventilation combined with tiotropium inhalation for treament） with 48 cases. Curative effects of the two groups were compared. Results The observation group had better improvement in pulmonary function and higher total effective rate than the control group， and the differences all had statistical significance （P0.05）. Conclusion Combination of bi-level positive airway pressure ventilation and tiotropium inhalation is safe and effective in treating senile chronic obstructive pulmonary disease at stable phase， and this method contains value of promoting. 　　【Key words】 Bi-level positive airway pressure ventilation； Tiotropium； Inhalation therapy； Senile； Chronic obstructive pulmonary disease； Stable phase 　　慢性阻塞性肺疾病为临床常见呼吸系统疾病， 患者由于呼吸功能衰竭死亡率较高， 且由于该病具有气流受限后不可逆的特点对患者日