支气管镜联合无创通气对慢性阻塞性肺疾病合并呼吸衰竭应用效果评价.docVIP

支气管镜联合无创通气对慢性阻塞性肺疾病合并呼吸衰竭应用效果评价 　　[摘要] 目的 将支气管镜和无创通气治疗联合应用于慢性阻塞性肺疾病合并呼吸衰竭患者中，评价应用效果。方法 方便选取2014年1月―2017年1月该院收治的70例慢性阻塞性肺疾病合并呼吸衰竭患者归入此文实验研究目标中，参照治疗方式不同予以分组处理，每组35例，常规治疗措施应用于两组后，无创通气治疗应用于参照组患者，支气管镜和无创通气治疗联合应用于实验组患者，分析两组行无创通气总时间、住院总时间、病死合计率，记载两组治疗前后的氧分压数值、二氧化碳分压数值。结果 实验组患者行无创通气总时间（55.0±6.4）h、住院总时间（10.2±1.0）d比较于参照组（98.3±7.0）h、（14.9±2.0）d，差异有统计学意义（P0.05），实验组患者病死合计率2.86%比较于参照组17.14%，差异有统计学意义（P0.05），实验组患者治疗之后氧分压数值（89.0±8.8）mmHg、二氧化碳分压数值（51.0±4.4）mmHg比较于参照组（70.2±7.0）mmHg、（69.5±6.0）mmHg，差异有统计学意义（P0.05）。结论 慢性阻塞性肺疾病合并呼吸衰竭患者采取支气管镜和无创通气治疗联合呈现良好应用效果。 　　[关键词] 支气管镜；无创通气；慢性阻塞性肺疾病；呼吸衰竭 　　[中?D分类号] R5 [文献标识码] A [文章编号] 1674-0742（2017）12（c）-0029-03 　　[Abstract] Objective This paper tries to evaluate the effect of the combination of bronchoscopy and noninvasive ventilation in patients with chronic obstructive pulmonary disease and respiratory failure. Methods 70 patients with chronic obstructive pulmonary disease patients with respiratory failure from January 2014 to January 2017 were convenient selected， according to the different treatment methods for packet processing， with 35 cases in each group， conventional treatment was applied in the two groups， noninvasive ventilation therapy in patients with the control group， bronchoscopes and noninvasive ventilation combined in the experimental group. The total time of noninvasive ventilation， the total length of hospital stay， and the total rate of death were analyzed in two groups. The partial pressure of oxygen and the partial pressure of carbon dioxide were recorded before and after treatment. Results The total duration of noninvasive ventilation （55.0±6.4）h and total hospital stay （10.2 ±1.0） days in experimental group was statistically significant compared with that in control group（98.3±7.0） h and（14.9±2.0）d， respectively. The difference between the two groups was statistically significant（P0.05）. The difference between the experimental group and the control group was 2.86%， which was significantly lower than that of the control gr