高频喷射通气对慢性阻塞性肺疾病伴呼吸衰竭的治疗作用  

Treatment to chronic obstructive pulmonary disease accompanied with respiratory failure with high frequency jet ventilation

作　　者：于桂生[1] 

机构地区：[1]菏泽市立医院,山东菏泽274031

出　　处：《山西临床医药》2001年第9期644-645,共2页Shanxi Clinical Medicine

摘　　要：目的 :观察高频喷射通气 (HFJV)对慢性阻塞性肺疾病伴呼吸衰竭的治疗效果。方法 :随机将 10 5例慢性阻塞性肺疾病伴呼吸衰竭患者分为 A、B两组 ,A组 5 3例进行 HFJV,B组 5 2例进行间歇正压通气 (IPPV)和间歇指令性通气 (IMV) ,进行治疗前后的疗效比较。结果 :A组治疗后动脉血气明显改善 ;A组死亡率 5 .7%、低血压发生率 1.9%、气压伤发生率 0 ,明显低于 B组 (P<0 .0 1)。结论 :对慢性阻塞性肺疾病伴呼吸衰竭患者 HFJV治疗效果明显 ,并优于 IPPV。Objective:To observe the therapeutic efficacy of high frequency jet ventilation(HFJV) in the patients with chronic obstructive pulmonary disease(COPD) accompanied with repiratory failure.Methods:105 cases of COPD accompanied with respiratory were randomly divided into A and B group.The group A (53 cases) was treated with HFJV,and the group B (52 cases) was done with IPPV and IMV.Campared the theraputic effect of the two groups before and after treatment.Results:The arterial blood and vigour in group A are improved after treatment.Death rate(5.7 %),incidence rate of hypotension(1.9 %) and incidence rate of barotrauma of group A are lower significantly than group B ( P <0.01).Conclusion:The therapentic efficancy of HFJV is better than IPPV in the patients with COPD accompanied with respiratory failure.

关 键 词：慢性阻塞性肺疾病 呼吸衰竭 高频喷射通气 HFJV COPD 

分 类 号：R563[医药卫生—呼吸系统] R459.6[医药卫生—内科学]