无创呼吸机治疗慢性阻塞性肺疾病合并呼吸衰竭的临床疗效观察  

Clinical observation of non-invasive ventilator in the treatment of chronic obstructive pulmonary disease with respiratory failure

作　　者：张雪 ZHANG Xue(Daqing Oilfield General Hospital,HeiLongJiang Daqing 163001,China)

机构地区：[1]大庆油田总医院,黑龙江大庆163001

出　　处：《临床医药文献电子杂志》2020年第45期18-18,21,共2页Electronic Journal of Clinical Medical Literature

摘　　要：目的研究并分析无创呼吸机治疗慢性阻塞性肺疾病合并呼吸衰竭的临床疗效。方法将2019年1月~2020年8月在我院治疗的88例慢阻肺合并呼吸衰竭患者纳入研究中,划分为治疗组与对照组,针对对照组,采用常规抗炎、补液、吸氧、平喘、支气管扩张、营养支持等治疗,治疗组在此基础上应用无创呼吸机,对比两组疗效。结果在mMRC评分、PaO2、PaCO2以及治疗结束后PSQI评分上,治疗组治疗效果均优于对照组,上述指标差异显著(P>0.05),有统计学意义。结论对慢阻肺合并心力衰竭患者应用无创呼吸机,可以改善患者血气指标与肺功能,不会对患者的其他生命体征带来影响,该种治疗方法值得在临床中进行推广和使用。Objective to study and analyze the clinical efficacy of non-invasive ventilator in the treatment of chronic obstructive pulmonary disease with respiratory failure.Methods from January 2019 to August 2020 in our hospital treated 88 cases of copd with respiratory failure patients included in the study,divided into treatment group and control group,in view of the control group,the conventional anti-inflammatory,rehydration,oxygen,and asthma,bronchiectasis,nutritional support,such as treatment,the treatment group on the basis of the application of noninvasive ventilator,compared two groups of curative effect.Results in terms of mMRC score,PaO2,PaCO2 and post-treatment PSQI score,the treatment group had better treatment effect than the control group,with significant difference in the above indicators(P>.05),which was statistically significant.Conclusion the application of non-invasive ventilator in patients with copd complicated with heart failure can improve the blood gas index and lung function of patients,and will not affect other vital signs of patients.This treatment method is worthy of being popularized and used in clinical practice.

关 键 词：无创呼吸机 慢性阻塞性肺疾病 呼吸衰竭 临床疗效 

分 类 号：R563.8[医药卫生—呼吸系统] R563.9[医药卫生—内科学]