无创呼吸机在有创通气治疗COPD合并Ⅱ型呼吸衰竭脱机中的应用临床观察  

The clinical obseration of invasive Ventilation to treatment COPD complication with Type Ⅱ respiratory in spontaneously breathing without respirator by noninvasive respiratory machine

作　　者：余天峰[1] 黄斌[1] 朱蔚仪[1] 赵淑灿[1] 庄嘉[1] 

机构地区：[1]广东省汕头市中心医院呼吸内科,515031

出　　处：《中国实用医药》2012年第5期23-24,共2页China Practical Medicine

摘　　要：目的探讨无创呼吸机在有创通气治疗COPD合并Ⅱ型呼吸衰竭脱机中的应用。方法将36例患者分为治疗组(20例)和对照组(16例),对照组在脱机过程中使用常规治疗。治疗组在常规治疗基础上给予序贯脱机治疗。结果两组脱机成功率、拔管后血气分析结果均有明显差异(P<0.01)。结论采用拨管后给予无创呼吸机通气治疗,可以提高有创通气治疗的脱机成功率。Objective To explore the application of invasive ventilation to treatment COPD complicat- ed with Type H respiratory failure in spontaneously breathing without respirator by noninvasive respiratory ma- chine. Methods 36 Patients with COPD complicated with Type I1 respiratory failure were divided randomly in- to treatment group （20 eases） and control group （ 16 cases）. The control group（ n = 16） received conventional therapy additional spontaneously breathing without respirator, while the treatment group （n = 20） received con- ventional therapy additional sequential spontaneously breathing without respirator. Results The success rate of spontaneously breathing without respirator and the resulte of blood gas analysis of trachea cannulas were pulled out showed a significant differences （P 〈 0. 01 ） between treatment group and the control group. Conclusion Noninvasive ventilation to treatment COPD complicated with Type Ⅱ respiratory failure after extubation can be used to increase the success rate of spontaneously breathing without respirator.

关 键 词：无创呼吸机 COPD II型呼吸衰竭 脱机 

分 类 号：R563.9[医药卫生—呼吸系统] R563.8[医药卫生—内科学]