ICU无创呼吸机对COPD合并Ⅱ型呼吸衰竭的疗效观察  

Efficacy of noninvasive ventilator of ICU in the treatment of COPD complicated with type Ⅱ respiratory failure

作　　者：张秀敏[1] 武海燕[1] 孙晓娟[1] 

机构地区：[1]河北北方学院附属第二医院ICU,河北张家口075100

出　　处：《海南医学院学报》2016年第14期1499-1501,共3页Journal of Hainan Medical University

基　　金：河北省科学技术研究与发展计划项目(1021112D)~~

摘　　要：目的:探讨ICU无创呼吸机对COPD合并Ⅱ型呼吸衰竭的疗效。方法:70例COPD合并Ⅱ型呼吸衰竭患者随机分为观察组和对照组,给予抗感染、止咳、化痰、平喘、改善心功能、纠正电解质紊乱及酸碱平衡等常规治疗,并给予合理的护理措施,对照组给采用低流量吸氧,观察组联合无创呼吸机经口鼻进行面罩辅助通气,检测治疗前、治疗3d后氧分压(PaO_2)、二氧化碳分压(PaCO_2)、血氧饱和度(SaO_2)、呼吸频率(RR)和心率(HR)变化,进行疗效判定及观察不良反应情况。结果:两组治疗后PaO_2、SaO_2较治疗前升高,PaCO_2降低,观察组优于对照组,差异有统计学意义(P<0.05);治疗后RR、HR均减慢,观察组优于对照组,差异有统计学意义(P<0.05);观察组总有效率为88.6%,对照组为57.1%,差异有统计学意义(P<0.05);两组不良反应无明显差异(P>0.05)。结论:ICU无创呼吸机治疗COPD合并Ⅱ型呼吸衰竭可有效改善缺O_2及CO_2潴留,迅速缓解呼吸困难症状,配合合理的护理干预,为治疗成功提供保障。Objective:To explore the efficacy of noninvasive ventilator of ICU in the treatment of COPD merged with type II respiratory failure.Methods:A total of 70 patients with COPD complicated with type II respiratory failure were randomized into the observation group and the control group.The patients in the two groups were given anti-infection,cough relieving,phlegm dispersing,asthma relieving,cardiac function improving,electrolyte disturbance and acid-base balance correcting,and appropriate nursing interventions.The patients in the control group were given low-flow oxygen inhalation,while the patients in the observation group were given additional noninvasive ventilator for mask assisted ventilation through the mouth and nose.The changes of PaO_2,PaCO_2,SaO_2,RR,and HR before treatment,and 3dafter treatment were detected.The efficacy was evaluated,and the adverse reactions were observed.Results:After treatment,PaO_2 and SaO_2 in the two groups were elevated,while PaCO_2 was reduced when compared with that before treatment,and those in the observation group were significantly superior to those in the control group(P<0.05).After treatment,RR and HR were reduced,and those in the observa-tion group were significantly superior to those in the control group(P<0.05).The total effective rate in the observation group(88.6%)was significantly higher than that in the control group(57.1%)(P<0.05).And the comparison of the adverse reactions between the two groups was not statistically significant(P>0.05).Conclusions:ICU noninvasive ventilator in the treatment of COPD complicated with type II respiratory failure can effectively improve hypoxia and CO_2 retention,and rapidly relieve dyspnea.in combined with appropriate nursing intervention it could guarantee favorable treatment outcomes.

关 键 词：ICU 无创呼吸机 COPD Ⅱ型呼吸衰竭 

分 类 号：R563[医药卫生—呼吸系统]