高流量氧雾化吸入与超声雾化吸入治疗COPDⅡ型呼吸衰竭的对比  

The Effects of High Flow Oxygen Inhalator and Ultrasonic Inhalator on Patients with Ⅱ Respiratory Failure due to Chronic Obstructive Pulmonary Disease

作　　者：张儒莲[1] 历风元[1] 潘俊华[1] 

机构地区：[1]南昌市第一医院呼吸内科,南昌330008

出　　处：《实用临床医学（江西）》2007年第12期17-19,共3页Practical Clinical Medicine

摘　　要：目的:探讨高流量氧雾化吸入治疗COPDⅡ型呼吸衰竭的疗效。方法:80例COPDⅡ型呼吸衰竭患者分为试验组(n=40,高流量氧雾化)与对照组(n=40,超声雾化),分别吸入万托林雾化液。于治疗前0.5 h和治疗后0.5 h、24 h、3 d、4 d及治疗结束后行血气分析,并观察病情变化。结果:试验组PaO2明显提高,PaCO2降至正常。试验组与对照组临床总有效率分别为97.5%、77.5%,不良反应率分别为7.5%、40%,两组比较差异均有显著性(P<0.05)。结论:高流量氧雾化吸入可应用于COPDⅡ型呼吸衰竭的治疗。Objective：To observe the effect of high flow oxygen inhalator for patients with Ⅱ respiratory failure with chronic obstructive pulmonary disease. Methods：Eighty patients were divided into two groups： group A （high flow oxygen inhalator） and group B （ultrasonic inhalator）, all patients were used ventolin respirator solution at half an hour before the treated and half an hour, 1, 3, and 4 days after the treated. The arterial blood gas was measured and clinical symptoms were assessed before and after treated. Results： PaO2 was significantly increased, PaCO2 had a significant decrease in group A, PaO2 and PaCO2 had the significant differences in group B （P〈0.05）. The rate of effect were 97.5% and 77.5% in group A and B （P〈0.05）, respectively. The rate of the side effect were 7.5% and 40%（P〈0.05）. Conclusion：The high flow oxygen inhalator is effective for patients with chronic obstructive pulmonary disease.

关 键 词：慢性阻塞性肺疾病 Ⅱ型呼吸衰竭 高流量氧雾化 超声雾化 

分 类 号：R563[医药卫生—呼吸系统]