双水平气道正压通气治疗煤工尘肺呼吸衰竭昏迷患者的应用价值  

Application value of Bi-level positive airway pressure ventilation in the treatment of stuporose patients due to respiratory failure of coal worker's pneumoconiosis

作　　者：刘允化[1] 孔小玉[1] 

机构地区：[1]淮南矿业集团职业病防治院呼吸重症监护室,安徽232033

出　　处：《临床肺科杂志》2009年第1期5-7,共3页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨经（鼻）面罩双水平气道正压通气（BiPAP）在煤工尘肺（CPW）所致呼吸衰竭合并昏迷患者中的应用价值。方法选择入住呼吸重症监护室（RICU）的21例煤工尘肺所致呼衰合并昏迷患者实行经面罩双水平气道正压通气治疗，观察通气前、通气2～6h、12h和24h后的意识、动脉血气变化。并与同期的21例非昏迷患者比较。结果昏迷组总有效率85．71％。非昏迷组有效率为90．48％，两组差异无显著性（P〉0．05）。结论经（鼻）面罩BiPAP治疗煤工尘肺所致呼衰昏迷患者有效。Objective To investigate the effect of Bi-level positive airway pressure （BiPAP） via （nose） face mask on stuporose patients due to respiratory failure of coal worker＇s pneumoconiosis （CWP）. Methods 21 cases in a state of due to respiratory failure of CWP in the respiratory intensive care unit （RICU） were treated with BiPAP. The change of consciousness was observed and arterial blood gases were measured among these patients before and after ventilation at 2 to 6 hours, 12 hours, and 24 hours respectively. The results were compared with 21 cases in a state of conscious patients in the same term. Results The efficiency of BiPAP in the unconsciousness was 85.71% and in the conscious groups was 90. 48% respectively, and there was no significance between the two groups （P〉0.05）. Conclusion Bi-level positive pressure ventilation via （nose） face mask is effective for stuporose patients due to respiratory failure of CWP.

关 键 词：双水平气道正压通气 煤工尘肺 呼吸衰竭 昏迷 

分 类 号：R135.2[医药卫生—劳动卫生] R563.8[医药卫生—公共卫生与预防医学]