双水平气道正压无创通气治疗老年慢性阻塞性肺病的效果观察  

Effect observation on bi- level positive airway pressure ventilation in the treatment of elderly chronic obstructive pulmonary disease

作　　者：陈钊成 吴海桂[1] 吴峰[1] 

机构地区：[1]惠州市第三人民医院呼吸内科,516002

出　　处：《齐齐哈尔医学院学报》2015年第23期3480-3482,共3页Journal of Qiqihar Medical University

摘　　要：目的探讨双水平气道正压(Bi PAP)无创通气在老年慢性阻塞性肺疾病(COPD)中治疗效果。方法选取我院收治的64例COPD患者随机分为观察组和对照组,对照组采用常规方法治疗,观察组在对照组治疗基础上采用Bi PAP无创通气治疗,比较两组患者治疗效果,治疗48 h后肺功能、呼吸频率(RR)、心率(HR)和p H值。结果观察组治疗总有效率为97.06%明显高于对照组83.33%总有效率,两组比较有统计学意义(P<0.05);观察组治疗48 h后RR、HR值明显低于对照组,p H值明显高于对照组,两组间各值比较有统计学意义(P<0.05);观察组治疗48 h后Pa CO2低于对照组,Pa O2、FEV1和FVC值明显高于对照组,两组间各值比较有统计学意义(P<0.05)。结论双水平气道正压无创通气治疗老年慢性阻塞性肺疾病可改善患者呼吸频率、心率和肺功能,提高治疗效果,具有显著临床治疗效果,值得在临床中推广应用。Objective Study on the treatment effect of noninvasive bi- level positive airway pressure（ Bi PAP） ventilation in the treatment of chronic obstructive pulmonary disease（ COPD）. Methods 64 cases of patients with COPD were randomly divided into the observation group and the control group,patients in control group adopted the conventional nursing method,however,patients in the treatment group using Bi PAP non-invasive ventilation. The effects of the two groups were compared（ including respiratory frequency（ RR）,heart rate（ HR） and p H value 48 h after treatment. Results The total effective rate of observation group was 97. 06%which was higher than 83. 33% of the control group. RR,HR values were significantly lower than the control group in the observation group after treatment for 48 h,on the contrary,PH values were significantly higher than that of control group. The Pa CO2 of observation group was lower than the control group,however,the Pa O2,FEV1 and FVC values were significantly higher than those in the control group. The differences between the two groups were statistically significant（ P〈0. 05）. Conclusions Non- invasive bi- level positive airway pressure ventilation in the treatment of elderly patients with chronic obstructive pulmonary disease can improve the respiratory frequency,heart rate and pulmonary function of patient,it improves the treatment effect,so it has a substantial clinical curative effect and is worthy of clinical application widely.

关 键 词：双水平气道 无创通气 慢性阻塞性肺疾病 

分 类 号：R563.3[医药卫生—呼吸系统]