经鼻(面)罩持续正压通气治疗Ⅱ型呼吸衰竭  

EFFECT OF BI-LEVEL POSITIVE AIRWAY PRESSURE VENTILATION VIA FACIAL(NASAL)MASK IN TREATING MODAL Ⅱ RESPIRATORY FAILURE

作　　者：李金明[1] 李新华[1] 王丽[1] 宫健[1] 姚力[1] 

机构地区：[1]临沂医专附属临沂市人民医院,临沂276003

出　　处：《临沂医学专科学校学报》1999年第3期175-177,共3页Journal of Linyi Medical College

摘　　要：目的　观察经鼻（ 面） 罩持续正压通气治疗Ⅱ型呼吸衰竭的效果。方法　将６２ 例慢性阻塞性肺疾病（ Ｃ Ｏ Ｐ Ｄ） Ⅱ型呼吸衰竭患者，随机分为两组，治疗３１ 例，用 Ｂｉ Ｐ Ａ Ｐ 呼吸机经鼻（ 面） 罩持续正压通气治疗；对照组３１ 例，用鼻导管持续低流量吸氧治疗。观察对比两种方法的治疗效果。结果　治疗组治疗后， Ｐａ Ｏ２ 迅速提高，与对照组比较具有非常显著性差异（ Ｐ ＜ ０ ．０１） ； Ｐａ Ｃ Ｏ２ 明显降低，与对照组比较也具有显著性差异（ Ｐ ＜ ０ ．０５） 。结论　合理应用 Ｂ Ｉ Ｐ Ａ Ｐ 呼吸机通气治疗可迅速纠正呼吸衰竭患者的低氧血症及高碳酸血症。Objective To observe the effect of oxygen therapy by bi-level positive airway pressure(BiPAP) via facial(nasal)mask (treatment group)on model Ⅱ respiratory failure.Methods We divided 62 patients with model Ⅱ respiratory failure resulting from chronic obstructive disease of lung into 2 groups at random.In the treatment group,31 cases were treated with BiPAP.And in the control group,31 cases were treated with low flow continuous oxygen inhalation of nasal catheter.The therapeutic effects of both methods were observed and compared.Results After 12-hour treatment,PaO 2 in the treatment group was rapidly increased with remarkable difference,compared with that in the control group (P<0.01) .And PaCo 2 in the treatment group was also notably decreased with remarkable difference ,compared with that in the control group (P<0.05) .Conclusion Proper use of continuous positive pressure ventilation can rapidly redress hypoxia and hypercarbia of patients suffering from model Ⅱ respiratory failure.

关 键 词：通气疗法 呼吸衰竭 吸氧 治疗 

分 类 号：R563.8705[医药卫生—呼吸系统]