无创通气治疗老年慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭疗效观察  

The observation of clinical efficacy of BiPAP non - invasive mechanical ventilation treatment on elderly COPD combined with respiratory failure type Ⅱ

作　　者：刘雪梅[1] 张作清[1] 张昌红[1] 魏萍[1] 丁海菊[1] 李晓荣[1] 刘宝珍[1] 

机构地区：[1]北京市石景山医院,100043

出　　处：《中国医学创新》2010年第18期1-3,共3页Medical Innovation of China

摘　　要：目的评价双水平无创正压通气治疗老年慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭的临床疗效。方法98例60岁以上慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者，分为治疗组44例和对照组54例，两组均给予常规药物治疗，治疗组同时给予双水平无创正压通气无创通气治疗。结果两组患者治疗后临床症状均有不同程度缓解，治疗组较对照组起效更快，疗效更好；两组治疗后血气分析均有显著改善，治疗组改善程度明显优于对照组，且无1例发生腹胀、面部皮肤压伤、气压伤或呼吸机相关肺炎。结论双水平无创正压通气无创通气是治疗老年慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭的一种安全有效的方法。Objective To evaluate the clinical efficacy of non - invasive mechanical ventilation on chronic obstruc- tive pulmonary disease（COPD） combined with respiratory failure type Ⅱ by bi - positive airway pressure （BiPAP） breathing machine. Methods 98 patients older than 60 years who suffered from COPD combined with respiratory failure type 11 were enrolled and divided into treatment group（ 44 cases）and control group（ 54 cases）. Routine pharmaceutical intervention was a- dopted in both groups while invasive mechanical ventilation by BiPAP breathing machine was given in the patients of treatment group. Results Patients well tolerated with BiPAP breathing machine, arterial partial pressure of oxygen and carbon dioxide were significantly improved after treatment. Comparing with control group, blood gas improvement were earlier and better. Pa- tients in both groups were improved in findings of blood gas analysis, and the improvement in study group wag obviously better than that of control group. No abdominal distention, skin crush, wind - contusion and ventilator - associated pneumonia was complicated. Conclusion Non - invasive mechanical ventilation is efficient and safe on COPD combined with respiratory failure type Ⅱ.

关 键 词：慢性阻塞性肺疾病 呼吸衰竭 无创通气 

分 类 号：R766.43[医药卫生—耳鼻咽喉科]