不同压力无创正压通气在慢性阻塞性肺疾病伴Ⅱ型呼吸衰竭患者中的应用  

Different pressures non-invasive ventilation in chronic obstructive pulmonary disease combined with type Ⅱ respiratory failure

作　　者：缪小辉[1] 许姣[1] 庄志方[1] Miao Xiaohui;Xu Jiao;Zhuang Zhifang(Department of Respiratory Medicine,Wujin Hospital Affiliated to Jiangsu University,Changzhou 213000,China)

机构地区：[1]江苏大学附属武进医院呼吸内科,常州213000

出　　处：《广西医科大学学报》2018年第11期1548-1550,共3页Journal of Guangxi Medical University

摘　　要：目的:观察不同压力无创正压通气(NIPPV)在治疗慢性阻塞性肺疾病(COPD)伴Ⅱ型呼吸衰竭患者中的应用。方法:选取2013年7月至2017年7月江苏大学附属武进医院呼吸内科收治的73例COPD伴Ⅱ型呼吸衰竭患者,根据压力支持模式不同分为高压支持组(38例)和低压支持组(35例)。比较两组治疗的成功率,同时监测患者神志、生命体征、血气分析以及可能出现的并发症。结果:NIPPV高压支持模式38例中,有36例治疗成功,成功率达94.74%,高于低压支持组的77.14%(P<0.05)。同时,NIPPV高压支持模式治疗并未出现更多并发症。结论:NIPPV高压支持模式可提高COPD伴Ⅱ型呼吸衰竭治疗的成功率,且不增加并发症的发生。Objective： To observe different pressures non-invasive positive pressure ventilation （NIPPV） in chronic obstructive pulmonary disease （COPD） combined with type Ⅱ respiratory failure.Methods： From July 2013 to July 2017,73 patients with COPD and typeⅡrespiratory failure in our hospital were enrolled,and divided into high-intensity NIPPV group （ n =38） and low-intensity NIPPV group （ n =35）.The success rate of treatment,vital signs,indexes of blood gas and complications were observed and compared.Results： In the high-intensity NIPPV group,a total of 36 cases achieved successful treatment with a success rate of 94.74%,which was higher than that in the low-intensity NIPPV group （77.14%） （ P 〈0.05）.Meanwhile,the incidence of complication was similar in the two groups.Conclusion： High-intensity NIPPV could achieve higher successful treatment rate in COPD combined with type Ⅱ respiratory failure patients,and did not increase the complications.

关 键 词：无创正压通气 Ⅱ型呼吸衰竭 高压支持模式 

分 类 号：R259[医药卫生—中西医结合]