无创通气治疗COPD合并重症呼吸衰竭36例疗效观察  

Analysis of 36 cases of Noninvasive ventilation in COPD Patients with Severe Respiratory Failure

作　　者：吕庆胜[1] 

机构地区：[1]广西罗城仫佬族自治县人民医院,广西罗城546400

出　　处：《中国医药指南》2015年第4期48-49,共2页Guide of China Medicine

摘　　要：目的观察无创通气在治疗COPD合并重症呼吸衰竭上的临床效果。方法回顾2010年1月至2014年1月收治的72例COPD合并重症呼吸衰竭患者临床资料。随机分为治疗组与对照组。对照组给予常规治疗;治疗组在常规治疗的基础上应用呼吸机进行无创通气治疗。对比两组患者治疗前后的插管率、血气变化、总费用、住院时间。结果对照组与治疗组患者经治疗后,其动脉血气较治疗前均明显改善,并且治疗组患者的治疗效果明显优于对照组(P<0.05);治疗组在插管率、病死率及住院时间上均明显低于对照组(P<0.05)。结论呼吸机无创通气治疗COPD合并重症呼吸衰竭可减少应用有创通气引起的风险,可有效改善患者血气。Objective Observed non-invasive ventilation in the treatment of COPD with severe respiratory failure clinical effect. Methods Review January 2010-January 2014 72 COPD patients admitted with severe respiratory failure in patients with clinical data. Were randomly divided into treatment group and control group. The control group received conventional treatment; treatment group on the basis of conventional therapy applications ventilator noninvasive ventilation. Comparing two groups of patients before and after intubation rate treatment, blood gas changes, the total cost of hospitalization. Results Control group and treatment group after treatment, compared with pre-treatment of arterial blood gas were significantly improved, and the therapeutic effect of the treatment group were significantly better than the control group（P〈0.05）; treatment group intubation rate, mortality and hospitalization time were significantly lower than the control group（P〈0.05）. Conclusion Ventilator noninvasive ventilation in COPD Patients with severe respiratory failure may reduce the risk of invasive ventilation caused by the application, which can effectively improve patients＇ blood.

关 键 词：无创通气 COPD合并重症呼吸衰竭 临床疗效 

分 类 号：R563.9[医药卫生—呼吸系统]