BiPAP无创呼吸机治疗治疗慢阻肺合并Ⅱ型呼吸衰竭临床观察  

Clinical observation of BiPAP non-invasive ventilator in the treatment of COPD with type Ⅱ respiratory failure

作　　者：沈宏韬[1] 顾雪峰[1] 邵传利[1] 

机构地区：[1]蚌埠市第一人民医院呼吸内科,安徽蚌埠233000

出　　处：《临床肺科杂志》2012年第2期218-219,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者使用BiPAP呼吸机通气的疗效。方法将42例患者随机分为两组,在相同的常规治疗下,治疗组22例加用BiPAP呼吸机通气治疗,对照组20例加用呼吸兴奋剂治疗,观察治疗前后两组血气分析结果的pH值、PaCO2及PaO2的变化。结果治疗组与对照组治疗后pH值,PO2,PCO2比较均有显著性差异(P<0.05),疗效明显优于对照组。结论 BiPAP呼吸机无创正压通气治疗能显著降低COPD合并Ⅱ型呼吸衰竭患者的二氧化碳分压,改善缺氧,疗效确切。Objective To evaluate the clinical effect of noninvasive bilevel positive airway pressure （BiPAP） ventilator on pa- tients of COPD with type Ⅱ respiratory failure. Methods 42 patients who were identified COPD with Type Ⅱ respiratory failure were divided into two groups randomly. Under the same conventional treatment, 22 cases in the treatment group were additionally treated with Bi- PAP ventilator, 20 cases in the control group were additionally treated with respiratory stimulant. The changes of blood gas analysis（ pH, PCO2 and PO2 ） before and after the treatment were observed and compared in two groups. Results Significant difference in curative effect existed between the treatment group and the control group （ P 〈 0. 05 ）. The treatment group significantly outweighed the control group. Concluions BiPAP ventilator can significantly lower PaCO2 , improve PaO2 in the patients of chronic obstructive pulmonary disease with Type Ⅱ respiratory failure.

关 键 词：慢性阻塞性肺疾病 Ⅱ型呼吸衰竭 BIPAP呼吸机 

分 类 号：R563.9[医药卫生—呼吸系统]