AECOPD患者BiPAP呼吸机IPAP、EPAP水平与腹胀发生程度的相关性分析  

Correlative Analysis of IPAP, EPAP Levels of Bi PAP and Abdominal Distension in AECOPD Patients

作　　者：余斯玲[1] 

机构地区：[1]广东省中医院急诊科,广东广州510120

出　　处：《临床医学工程》2015年第7期831-832,共2页Clinical Medicine & Engineering

摘　　要：目的探讨Bi PAP无创通气治疗慢性阻塞性肺疾病急性加重期(AECOPD)过程中吸气相正压(IPAP)、呼气末正压(EPAP)水平与腹胀发生程度的关系。方法回顾性分析AECOPD无创通气患者56例,探讨IPAP、EPAP与腹胀程度的相关性。结果不同IPAP、EPAP水平下,患者发生腹胀程度差异有统计学意义(P<0.05),IPAP、EPAP水平与腹胀程度存在正相关关系(r=0.526、0.556,P<0.05)。对已发生腹胀的患者,不同EPAP水平的氧合情况比较差异无统计学意义(P>0.05)。结论 AECOPD患者Bi PAP辅助通气中尽量减小IPAP、EPAP水平对预防腹胀有益,已发生腹胀患者不应盲目提高EPAP来改善氧合。Objective To explore the relationship between the levels of IPAP, EPAP and the abdominal distension in AECOPD patients treated with Bi PAP non-invasive ventilation. Methods The clinical data of 56 AECOPD patients were analyzed retrospectively to compare the abdominal distension degree between patients with different IPAP level and EPAP level. Results There were statistical differences in the degree of abdominal distension among patients with different IPAP level and EPAP level（both P 0.05）, and there were certain positive correlations between IPAP level, EPAP level and the degree of the abdominal distension（r = 0.526 and 0.526 respectively, P0.05）. For patients with abdominal distension, the oxygenation showed no statistical difference amont different levels of EPAP（P 0.05）.Conclusions For AECOPD patients, reduction of IPAP and EPAP levels as far as possible is beneficial for preventing abdominal distension,but for AECOPD patients with abdominal distension, it is not necessary to raise the level of EPAP blindly to improve Pa O2.

关 键 词：慢性阻塞性肺疾病 双水平气道正压通气 腹胀 相关性分析 

分 类 号：R563[医药卫生—呼吸系统]