无创通气治疗COPD合并重症呼吸衰竭的临床研究  

Clinical research of noninvasive ventilation in the treatment of COPD complicated with severe respiratory failure

作　　者：迟磊[1] 赵冬影[1] 宫建国[1] 陈慧妍[1] 赵莹[1] 徐勇[1] CHI Lei;ZHAO Dong-ying;GONG Jian-guo(Department of Intensive Medicine, Daqing City People’s Hospital, Daqing 163316, China)

机构地区：[1]大庆市人民医院重症医学科,163316

出　　处：《中国现代药物应用》2017年第3期53-54,共2页Chinese Journal of Modern Drug Application

摘　　要：目的分析慢性阻塞性肺疾病(COPD)合并重症呼吸衰竭患者接受无创通气治疗的临床效果。方法 52例COPD合并重症呼吸衰竭患者,根据治疗方法不同分为A组(32例)与B组(20例)。B组采用常规治疗及低流量吸氧,A组患者采用常规治疗及无创通气,观察比较两组治疗效果。结果 A组患者的插管率为9.4%(3/32)、死亡率为3.1%(1/32),明显低于对照组的60.0%(12/20)、20.0%(4/20),差异具有统计学意义(χ~2=15.37、4.03,P<0.05)。结论 COPD合并呼吸衰竭患者接受无创通气治疗能够节约治疗时间,让患者的生存率提升。Objective To analyze clinical effect by noninvasive ventilation in the treatment of patients with chronic obstructive pulmonary disease (COPD) complicated with severe respiratory failure. Methods A total of 52 patients with COPD complicated with severe respiratory failure were divided by different treatment measures into group A (32 cases) and group B (20 cases). Group B received conventional treatment and low flow oxygen inhalation. Group A received conventional treatment and noninvasive ventilation. Curative effects were observed and compared between the two groups. Results Group A had obviously lower intubation rate as 9.4% (3/32) andmortality rate as 3.1% (1/32) than 60.0% (12/20) and 20.0% (4/20) in the control group, and the difference had statistical significance (χ2=15.37, 4.03, P<0.05). Conclusion Implement of noninvasive ventilation in patients with COPD complicated with severe respiratory failure can shorten treatment time and improve survival rate in patients.

关 键 词：无创通气 慢性阻塞性肺疾病 重症呼吸衰竭 

分 类 号：R563[医药卫生—呼吸系统]