无创正压通气配合支气管镜对慢阻肺合并呼吸衰竭患者血气指标及疗效的影响  

Effect of non-invasive positive pressure ventilation combined with bronchoscopy on blood gas index and efficacy in patients with chronic obstructive pulmonary disease complicated with respiratory failure

作　　者：唐颖[1] Tang Ying(Longnan Hospital of Daqing City(The Fifth Affiliated Hospital of Qiqihar Medical College),Heilongjiang Daqing 163453)

机构地区：[1]大庆龙南医院(齐齐哈尔医学院第五附属医院),黑龙江大庆163453

出　　处：《中国社区医师》2020年第30期61-62,共2页Chinese Community Doctors

摘　　要：目的:探析为慢性阻塞性肺疾病合并呼吸衰竭患者应用无创正压通气联合支气管镜治疗方案对其血气指标、临床疗效的影响价值。方法:选取我院2017年2月-2019年2月收治确诊的急性加重期慢阻肺合并Ⅱ型呼吸衰竭患者临床资料进行分析,在符合选择标准群体中抽取80例,随机数字表对患者进行分组(对照组、联合组),各组有患者40例,对照组接受常规慢阻肺合并呼吸衰竭对症治疗,联合组在常规治疗基础上给予无创正压通气配合支气管镜干预。比较两种治疗方案对慢阻肺合并呼吸衰竭患者在血气指标、APACHEⅡ评分的差异。结果:两组患者在治疗前各项血气指标氰离子浓度指标(pH)、动脉血氧分压(PaO_2)、二氧化碳分压(PaCO_2)比较差异并无统计学意义(P>0.05),治疗后两组患者各指标均有改善且前后差异有统计学意义(P<0.05),治疗后联合组患者各项血气指标数据显著优于对照组(P<0.05);两组患者治疗前APACHEⅡ评分比较无统计学意义(P>0.05),治疗后两组患者APACHEⅡ有改善且前后差异有统计学意义(P<0.05),治疗后联合组患者指标显著优于对照组(P<0.05)。结论:对收治慢性阻塞性肺疾病合并呼吸衰竭患者在提供治疗干预时,在常规保守对症治疗基础上联合无创正压通气、支气管镜肺灌洗对于进一步改善病情,提高患者治疗舒适性、依从性均有积极意义,值得推广。Objective:To analyze the effect of non-invasive positive pressure ventilation combined with bronchoscopy on blood gas index and curative effect in patients with chronic obstructive pulmonary disease complicated with respiratory failure.Methods:From February 2017 to February 2019,80 patients with acute exacerbation of COPD and type II of respiratory failure were admitted,they were randomly divided into two groups with 40 cases in each group.The control group received conventional symptomatic treatment.The experimental group received non-invasive positive pressure ventilation combined with bronchoscopy intervention based on conventional treatment.The therapeutic effects between the two groups was compared.Results:The various levels of blood gas indexes in the experimental group were significantly better than that in the control group,the differences were statistically significant(P<0.05).After treatment,the APACHEⅡscore of the experimental group was lower than that of the control group,the difference was statistically significant(P<0.05).Conclusion:Conventional treatment combined with non-invasive positive pressure ventilation combined with bronchoscopy can further improve the condition of patients with chronic obstructive pulmonary disease complicated with respiratory failure.

关 键 词：无创正压通气 支气管镜 慢阻肺合并呼吸衰竭 临床效果 

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