P合并Ⅱ型呼吸衰竭患者经BiPAP呼吸机治疗的临床效果.docVIP

COPD合并II型呼吸衰竭患者经BiPAP呼吸机治疗的临床效果 】H的：探讨慢性阻塞性肺病合并II型呼吸衰竭患者应用 BiPAP呼吸机治疗临床价值。方法：择取笔者所在医院在2014年1月 -2015年6月收治的⑶PD合并II型呼吸衰竭70例患者进行临床研究， 按数字奇偶法分为两组，对照组34例给予常规治疗，研究组36例在 对照组基础上应用BiPAP呼吸机治疗;观察两组患者治疗前后肺功能、 动脉血气分析指标及SGRQ评价情况。结果：研究组患者治疗后活动影 响、临床症状及疾病影响等SGRQ评分低于对照组，差异有统计学意义 (P0. 05)；两组患者治疗前动脉血气指标与肺功能指标比较，差异无 统计学意义(P0. 05)，治疗后两组动脉血气指标与肺功能指标均明显 改善，差异有统计学意义(P〈0. 05)，且治疗后研究组指标改善优于对 照组，差异有统计学意义(P〈0.05)。结论：对合并II型呼吸衰竭的慢 性阻塞性肺病患者应用BiPAP呼吸机治疗，可有效改善其临床症状， 纠正低氧血症，迅速缓解呼吸衰竭。 和著作权归原 所有， 匕 关键词】慢性阻塞性肺病；呼吸衰竭；BiPAP呼吸机；临床 疗效 doi：10. 14033/j. cnki. cfmr. 2017. 14. 001 A 文章编 号 1674-6805 (2017) 14-0001-03 Clinical Effect of Bi PAP Ventilator in Patients with COPD Complicated with Type II Respiratory Failure/XU Dong-mei. //Chinese and Foreign Medical Research, 2017，15(14): 1-3 [Abstract] Objective：To discuss the clinical value of BiPAP ventilator in chronic obstructive pulmonary disease (COPD) patients with type II respiratory failure. Method： 70 patients with COPD combined with type II respiratory failure admitted in our hospital from January 2014 to June 2015 were selected and divided into 2 groups according to the digital parity. 34 cases of the control group were treated with conventional therapy. 36 cases of the study group were treated with BiPAP ventilator on the basis treatment of control group. The lung function and arterial blood gas analysis indexes and the SGRQ (Respiratory Questionnaire ) were evaluated before and after the treatment. Result： Compared with the control group, the impact of activities, clinical symptoms, disease influences of SGRQ scores in the study group were significantly lower, and the differences were statistically significant(P〈O. 05). The indexes of arterial blood air and pulmonary function in two groups befor treatment had no significant difference (P0. 05) . The indexs of pulmonary function and arterial blood in two groups after treatment were significantly improved (P0. 05) . The indexs in the stndy group were better than those in the control group a