定量阻力呼气和缩唇呼吸治疗Ⅱ型呼吸衰竭临床对比研究.docVIP

定量阻力呼气和缩唇呼吸治疗Ⅱ型呼吸衰竭临床对比研究 　　[摘要] 目的 比较定量阻力呼气与缩唇呼吸治疗Ⅱ型呼吸衰竭的临床疗效。 方法 选取该院2013年1月―2014年5月收治的慢性阻塞性肺疾病（COPD）合并Ⅱ型呼吸衰竭患者72例，随机分为两组，每组各36例。A组患者采用定量阻力呼气进行肺康复，B组患者采用缩唇呼吸进行肺康复。观察对比两组患者治疗5 d后的血气分析结果。 结果 两组的血气情况均较治疗前有显著改善，A组治疗后的PaO2指数明显高于治疗前（P0.05）。结论 定量阻力呼气与缩唇呼吸治疗Ⅱ型呼吸衰竭均有显著的临床疗效，可有效改善患者的缺氧和二氧化碳潴留症状。定量阻力呼气在控制PEEPe水平上精确性高于缩唇呼吸，减少呼气负荷过大和呼吸肌做功引发的风险。 　　[关键词] 定量阻力呼气；缩唇呼吸；慢性阻塞性肺疾病；Ⅱ型呼吸衰竭 　　[中图分类号] R563.8 [文献标识码] A [文章编号] 1674-0742（2015）01（c）-0036-02 　　[Abstract] objective to compare the quantitative resistance exhale and shrinkage lip breathing Ⅱ type respiratory failure clinical curative effect of treatment. Methods from January 2013 to May 2013 were chronic obstructive pulmonary disease （COPD） with type Ⅱ 72 patients with respiratory failure were randomly divided into two groups， 36 cases in each group. Exhale in group A were treated by quantitative resistance to pulmonary rehabilitation， B group of patients with shrinkage lip breathing pulmonary rehabilitation. Observed compared to 5 d after treatment in both groups of blood gas analysis results. The results of two groups blood gas situation was improved significantly， the PaO2 index of group A after treatment was obviously higher than that of before treatment （P 0.05）. Conclusion quantitative resistance exhale and shrinkage lip breathing treatment Ⅱ type were significantly clinical curative effect of respiratory failure， which can effectively improve the patients symptoms of oxygen and carbon dioxide retention. Exhale quantitative resistance in level accuracy is higher than the shrinkage PEEPe lip breathing， reduce the risk of expiratory load is too large and well done， cause. 　　[key words] Out quantitative resistance； Shrinkage lip breathing； Chronic obstructive pulmonary disease； Ⅱ type of respiratory failure 　　慢性阻塞性肺疾病（COPD）是一种慢性呼吸系统疾病，近年来，COPD发病率逐年上升，严重威胁到患者的生命健康。该病的发病机制主要是患者的肺-胸廓弹性回缩力减弱，气流受到限制，在被动呼气中气流受阻，无法将吸入的气量全部呼出，导致肺容量逐渐增加，加大了肺泡内压，最终引发内源性呼气末正压（PEEPi），当病情进一步恶化时将并发Ⅱ型呼吸衰竭，对患者的生活质量造成了严重影响[1-2]。该研究选取2013年1月―2014年5月该院收治