无创机械通气治疗47例COPDⅡ型呼吸衰竭患者早期疗效及影响因素分析  

Influence factors of non-invasive ventilation on COPD patients with type Ⅱ respiratory failure

作　　者：乜庆荣[1] 张爱民[1] 孟祥顺[1] 韩雪峰[1] 刘建伟[1] 

机构地区：[1]北京市房山区良乡医院呼吸科,北京102401

出　　处：《西部医学》2010年第9期1626-1627,1629,共3页Medical Journal of West China

摘　　要：目的探讨无创机械通气应用时间对慢性阻塞性肺疾病(COPD)Ⅱ型呼吸衰竭早期疗效的影响。方法选取47例由COPD导致的Ⅱ呼吸衰竭患者行无创机械通气治疗,按通气时间长短分为两组(L组14例与S组33例),比较两组患者血气变化及生命体征情况。结果 L组PaCO2显著低于S组,且L组通气前后PaCO2、PaO2、PH、SPO2得到显著改善。结论早期行无创机械通气时,通气时间可能具有一定影响,较长时间通气可能更加易起效。Objective To explore the impact of different non-invasive ventilation using time on the early efficacy in patients with Ⅱ respiratory failure.Method 47 COPD patients with Ⅱ respiratory failure were divided into two groups（L and S）.Results PaCO2 of L group was significant lower than that of S group.In L group,PaCO2,PaO2,PH and SpO2 were dramatically improved.Conclusion Different using time of the NIV has a certain effect on the therapeutic effect.

关 键 词：无创机械通气 COPDⅡ型呼吸衰竭 通气时间 

分 类 号：R563.8[医药卫生—呼吸系统]