无创双相正压通气治疗中重度Ⅱ型呼衰的探讨  

Noninvasive bi-level positive pressure ventilation in patients with moderate or severe degree Ⅱ type respiratory failure

作　　者：王导新[1] 薛亚梅[1] 蒋幼凡[1] 张桂蓉[1] 

机构地区：[1]重庆医科大学附属第二医院肺科,400010

出　　处：《重庆医学》2001年第2期104-105,共2页Chongqing medicine

摘　　要：目的　探讨无创通气对中重度Ⅱ型呼吸衰竭的临床效果。方法　 5 1例中重度Ⅱ型呼衰患者随机分为通气治疗组和药物治疗组 ,33例采用面罩无创通气。结果　通气组PaO2 升高明显快于药物组 (P <0 0 5 ) ,PaCO2 在 4h内下降不明显 (P >0 0 5 )。结论　无创通气对中重度Ⅱ型呼吸衰竭疗效较好 ,易耐受 ,可减少气管插管 ,易于基层推广。Objective Investigation of the effect of noninvasive bi level positive pressure ventilation in patients with moderate or severe degree Ⅱ type respiratory failure.Methods 51 patients with moderate or severe degree Ⅱ type respiratiory failure were randomized into ventination treatment group and drug treatment group.33 patients were treated with noninvasive ventilation.Results Noninvasive ventilation could increase PaO 2 faster than drug treatment (P<0 05),there was no significant change of PaCO 2 within 4 hours between the two groups (P>0 05) Conclusion Noninvasive ventilation was effective for patients with moderate or severe degree Ⅱ type respiratory failure. It may reduce endotracheal intubation and be used in clinical practice.

关 键 词：重度Ⅱ型呼吸衰竭 无创双相正压通气 治疗 机械通气 

分 类 号：R563.8[医药卫生—呼吸系统]