BiPAP呼吸机通气治疗COPD并Ⅱ型呼吸衰竭30例临床分析  

Clinical analysis of BiPAP ventilation in treatment of COPD with Type 2 respiratory failure

作　　者：孙丽[1] 郝春艳 张春雨[1] 周大悦[1] 

机构地区：[1]吉林省四平中心医院,136000

出　　处：《临床肺科杂志》2005年第6期712-713,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨B iPAP无创正压通气治疗COPD并发Ⅱ型呼衰的疗效。方法30例COPD并发Ⅱ型呼衰患者随机分为通气组和对照组各15例,通气组除常规治疗外加用B iPAP呼吸机辅助通气治疗,对照组则给予抗感染.通畅气道,持续低流量吸氧,改善通气等常规治疗。结果通气组治疗1小时后PaO 2明显升高,通气72小时后PaCO 2降低,酸中毒改善,15例中有3例需气管插管.对照组15例中有11例需气管插管呼吸机辅助通气治疗。结论B iPAP呼吸机辅助通气治疗COPD并发Ⅱ型呼衰疗效较好。Objective To evaluate the clinical effect of BiPAP ventilation in the treatment of COPD with Type 2 respiratory failure. Methods Thirty cases of COPD with Type 2 respiratory failure were divided into two groups： ventilation group （n=15） and contrast group （n=15）. The contrast group was givenanti-infection, clean airway, continuously inhaling low concentration oxygen with ventilation improvement. The ventilation group was treated with BiPAP ventilation in addition to the regular therapy. Results In the ventilation group, PaO2 increased significantly after being ventilated 1 hour. PaO2 decreased significantly and acidosis improved after being ventilated for 72 hours. However, there were 3cases （20.0%） who needed tracheacannula, while in the contrast group there were 11 cases （73. 3%）. Conclusion BiPAP ventilation has good effect on COPD cases with Type 2 respiratory failure.

关 键 词：BiPAP COPD 呼吸衰竭 无创正压通气治疗 BIPAP呼吸机 Ⅱ型呼吸衰竭 临床分析 辅助通气治疗 持续低流量吸氧 Ⅱ型呼衰 

分 类 号：R563.9[医药卫生—呼吸系统]