有创呼吸机、无创呼吸机序贯治疗重症慢阻肺Ⅱ型呼吸衰竭的临床疗效  

The Clinical Efficacy of Sequential Ventilator and Noninvasive Ventilator in the Sequential Treatment of Severe Chronic Obstructive Pulmonary Type Ⅱ Respiratory Failure

作　　者：朱绕齐 ZHU Rao-qi(Department of Respiratory Medicine,People’s Hospital of Jiawang District,Xuzhou,Jiangsu Province,221011 China)

机构地区：[1]徐州市贾汪区人民医院呼吸内科,江苏徐州221011

出　　处：《中外医疗》2017年第36期72-73,76,共3页China & Foreign Medical Treatment

摘　　要：目的探讨有创呼吸机、无创呼吸机序贯治疗重症慢阻肺Ⅱ型呼吸衰竭的临床疗效。方法方便择取该院2010年1月—2017年1月期间收治的52例重症慢阻肺Ⅱ型呼吸衰竭患者为研究对象,按照前瞻性方式将52例患者随机分为对照组和观察组,每组26例。对照组给予间歇指令通气加压通气,观察组患者采用有创和无创序贯通气治疗。治疗结束后,评价两组患者的治疗效果。结果观察组脱机时间(4.2±1.20)d,对照组脱机时间(5.8±1.40)d,差异有统计学意义(t=4.336 9,P<0.05)。两组患者治疗后血气指标各项值均较治疗前有显著改善,治疗后对照组患者各项指标稍优于观察组,但比较差异无统计学意义(P>0.05)。同时,从不良反应发生率上来看,观察组7.69%显著低于对照组19.23%,差异有统计学意义(χ2=5.716 4,P<0.05)。结论针对重症慢阻肺Ⅱ型呼吸衰竭患者可给予有创和无创呼吸机序贯治疗的方式,改善患者血气指标,缩短脱机时间,患者耐受性好,提高治疗效果,值得推广。Objective This paper tries to investigate the clinical efficacy of invasive ventilator and noninvasive ventilator in the sequential treatment of severe chronic obstructive pulmonary type II respiratory failure.Methods 52 patients with severe chronic obstructive pulmonary type II(respiratory failure)were enrolled in this study.52 patients from January 2010 to January 2017 were convenient selected and randomly divided into control group and observation group according to the prospective method.Each group had 26 cases.The control group was given intermittent ventilation.The patients in the observation group were treated with invasive and noninvasive sequential ventilation.After treatment,the curative effect of the two groups were compared.Results The off-line time of the observation group was(4.2±1.20)d,and the time of the control group was(5.8±1.40)d,and the difference was statistically significant(t=4.336 9,P<0.05).The values of blood gas indexes in the two groups after treatment were significantly improved compared with those before treatment,and the indexes in the control group were slightly better than those in the observation group,but there was no significant difference(P>0.05).At the same time,from the incidence of adverse reactions,the observation group 7.69%was significantly lower than the control group 19.23%,the difference was statistically significant(χ2=5.716 4,P<0.05).Conclusion For patients with severe chronic obstructive pulmonary type II respiratory failure can be given invasive and noninvasive ventilator sequential treatment of the way to improve the blood gas indicators,shorten the off-line time,improve the treatment effect,it is worth promoting.

关 键 词：有创呼吸机 无创呼吸机 序贯治疗 重症慢阻肺II型呼吸衰竭 

分 类 号：R5[医药卫生—内科学]