慢性阻塞性肺疾病伴呼吸衰竭应用无创呼吸机治疗的临床效果分析.docxVIP

慢性阻塞性肺疾病伴呼吸衰竭应用无创呼吸机治疗的临床效果分析 　　【摘要】目的研究慢性阻塞性肺疾病（copd）合并呼吸衰竭患者应用无创呼吸机治疗的临床效果。方法144例慢性阻塞性肺疾病伴有呼吸衰竭患者，随机分为对照组和治疗组，每组72例。对照组患者采用常规治疗，治疗组患者在对照组治疗基础上采用无创呼吸机治疗。比较两组血气指标改善效果、治疗3d后插管情况及插管患者性别、年龄、病程。结果治疗组血气指标改善总有效率91.67%高于对照组的62.50%，差异具有统计学意义（p0.05）。治疗组患者治疗3d后插管率8.33%低于对照组的23.61%，差异具有统计学意义（p0.05）。治疗组插管患者平均年龄、平均病程均高于对照组，差异具有统计学意义（p0.05）;两组插管患者性别比较差异无统计学意义（p0.05）。结论慢性阻塞性肺疾病合并呼吸衰竭患者应用无创呼吸机治疗可有效改善患者的病情，改善临床症状及血气指标，提高治疗效果，治疗后插管率低，值得推广。 　　【关键词】慢性阻塞性肺疾病;呼吸衰竭;无创呼吸机;临床效果 　　doi：10.14163/j.cnki.11-5547/r.2020.10.011 　　【abstract】objectivetostudytheclinicaleffectofnon-invasiveventilatortherapyforchronicobstructivepulmonarydisease（copd）complicatedbyrespiratoryfailure.methodsatotalof144patientswithchronicobstructivepulmonarydiseaseandrespiratoryfailurewererandomlydividedintocontrolgroupandtreatmentgroup，with72casesineachgroup.thecontrolgroupreceivedconventionaltherapy，andthetreatmentgroupreceivednon-invasiveventilatortherapyonthebasisofthecontrolgroup.theimprovementeffectofbloodgasindex，intubationstatusandgender，age，courseoftreatmentofintubationpatientsafter3doftreatmentwerecomparedbetweenthetwogroups.resultsthetotaleffectiverateofbloodgasindeximprovement91.67%inthetreatmentgroupwashigherthan62.50%inthecontrolgroup，andthedifferencewasstatisticallysignificant（p0.05）.after3doftreatment，theintubationrate8.33%inthetreatmentgroupwaslowerthan23.61%inthecontrolgroup，andthedifferencewasstatisticallysignificant（p0.05）.theaverageageandcourseoftreatmentofintubationpatientsinthetreatmentgroupwerehigherthanthoseinthecontrolgroup，andthedifferencewasstatisticallysignificant（p0.05）.therewasnostatisticallysignificantdifferenceingenderofintubationpatientsbetweenthetwogroups（p0.05）.conclusionapplicationofnon-invasiveventilatorcaneffectivelyimprovetheconditionofpatientswithchronicobstructivepulmonarydiseaseandrespiratoryfailure，improvetheirclinicalsymptoms，bloodgasindex，therapeuticeffectandsurvivalratewithlowintubationrateaftertreatment，whichisworthpopularizing. 　　【keywords】chronicobstruct