长期家庭无创正压通气治疗重度慢性阻塞性肺疾病稳定期的疗效观察  

Clinical Observation Of Long-term Domiciliary Non-invasive Positive Pressure Ventilation In The Treatment Of Severe Chronic Obstructive Pulmonary Disease In Stable Phase

作　　者：范敏娟[1] 赵国厚[1] 沈雯[1] 温林俏[1] 王蜀昆[1] 

机构地区：[1]昆明医学院第二附属医院干部医疗和老年呼吸病科,云南昆明650101

出　　处：《医学信息（中旬刊）》2011年第4期1255-1256,共2页Medical Information Operations Sciences Fascicule

摘　　要：目的:观察在重度慢性阻塞性肺疾病稳定期患者进行长期家庭无创正压通气治疗的疗效。方法:重度慢性阻塞性肺疾病(COPD)患者47例,随机分为治疗组27例和对照组20例,在病情的稳定期,治疗组给予长期家庭无创正压通气及常规治疗,对照组20例仅给予常规治疗。随访2年,观察两组治疗前后的住院次数、住院时间、住院费用、呼吸困难程度、血气、肺功能及病死率的变化。结果:两组患者的住院次数、住院时间、住院费用、呼吸困难程度、血气、肺功能及病死率有显著差异(P<0.05)。结论:重度慢性阻塞性肺疾病患者稳定期采用长期家庭无创正压通气治疗有利于改善病情。Objective：To explore the effect of long-term domiciliary non-invasive positive pressure ventilation（NIPPV） in the treatment of severe chronic obstructive pulmonary disease（COPD） in stable phase.Methods：47 patients with severe COPD were randomly divided into treatment group（n=27）and control group（n=20）,both groups were given routine treatment,the treatment group were given long-term domiciliary NIPPV on the basis of routine treatment,then observed hospitalization costs,hospitalization time,number of admission,dyspnea,blood gas analysis,pulmonary function and fatality rate after ventilator used in 2 years.Results：There was a significant difference in hospitalization costs,hospitalization time,number of admission,dyspnea,blood gas analysis,pulmonary function and fatality rate between the two groups（p0.05）.Conclusion：For the patients with severe chronic obstructive pulmonary（COPD） in stable phase,it was an effective method to long-term domiciliary non-invasive positive pressure ventilation（NIPPV）.

关 键 词：慢性阻塞性肺疾病 长期家庭无创正压通气 临床应用 

分 类 号：R256.212[医药卫生—中医内科学]