无创正压通气治疗COPDⅡ型呼吸衰竭32例的临床分析  

Non-invasive Positive Pressure Ventilation in the Treatment of COPD Patients with Type Ⅱ Respiratory Failure:Clinical Analysis of 32 Cases

作　　者：兰万成[1] 吴晓新[1] 曾靖[1] 

机构地区：[1]广东省中医院急诊科,广东广州510120

出　　处：《临床医学工程》2009年第5期39-40,共2页Clinical Medicine & Engineering

摘　　要：目的通过监测患者动脉血气(pH、PaO2、PaCO2)的变化,评价无创正压通气治疗COPDⅡ型呼吸衰竭的疗效。方法63例COPDⅡ型呼吸衰竭患者分为治疗组(32例)和对照组(31例),在常规综合治疗的基础上治疗组应用BiPAP呼吸机进行通气治疗,对照组给与呼吸兴奋剂,观察治疗前、治疗2d后的血气PH、PaCO2、PaO2指标变化。结果治疗后2d治疗组血气指标PaO2明显上升,PaCO2明显下降,与对照组比较有显著性差异。结论无创性正压通气治疗COPDⅡ型呼吸衰竭患者疗效显著。Objective To evaluate the effect ofnon-invasive positive pressure ventilation in the treatment of COPD patients with II respiratory failure by monitoring the arterial blood gas indicators （pH, PaO2, PaCO2）changes. Methods The 63 COPD patients with Type II respiratory failure were randomly divided into treatment group （32 cases） and control group （31 cases）.The two groups were both on the basis of the conventional combined treatment.The treatment group appled BiPAP ventilator in addition while the control group was given respiratory stimulants.To observe the changes of arterial blood gas indicators （pH, PaO2, PaCO2） before treatment and treatment of 2 d between the two groups. Results After the treatment of 2d, the arterial blood gas indicators PaO2 increased and PaCO2 decreased significantly in the treatment group.Compared with the control group they were significantly different （P 〈0.05）. Conclusion Non-invasive positive pressure ventilation in the treatment of COPD patients with Type II respiratory failure have significant efficacy.

关 键 词：无创性正压通气 呼吸兴奋剂 COPD Ⅱ型呼吸衰竭 

分 类 号：R563.8[医药卫生—呼吸系统]