无创呼吸机联合纳洛酮治疗老年COPD并发呼吸衰竭的效果  

Effect of Non-invasive Ventilator Combined With Naloxone in Elderly Patients With COPD and Respiratory Failure

作　　者：王颖[1] WANG Ying(Respiratory Department,Jilin Provincial People’s Hospital,Changchun Jilin 130021,China)

机构地区：[1]吉林省人民医院呼吸内科,吉林长春130021

出　　处：《中国卫生标准管理》2021年第3期97-99,共3页China Health Standard Management

摘　　要：目的探讨无创呼吸机联合纳洛酮治疗老年COPD(慢性阻塞性肺疾病)并发呼吸衰竭的临床效果。方法96例COPD病例均为吉林省人民医院呼吸内科2018年3月-2019年5月住院患者,按随机数字表法分为A组(实施常规药物+无创呼吸机治疗)、B组(联合纳洛酮治疗)各48例,对比两组疗效及治疗前后血气指标。结果B组总有效率95.83%,高于A组的77.08%,差异具有统计学意义(P<0.05);两组治疗前PaO2、PaCO2水平的差异无统计学意义(P>0.05);治疗后B组PaO2水平高于A组、PaCO2指标水平低于A组,差异具有统计学意义(P<0.05)。结论无创呼吸机联合纳洛酮用于老年COPD并发呼吸衰竭的价值高。Objective To investigate the clinical effect of non-invasive ventilator combined with naloxone in the treatment of elderly COPD(chronic obstructive pulmonary disease)complicated with respiratory failure.Methods All the 96 CASES of COPD were hospitalized patients in the Department of Respiratory Medicine of Jilin People's Hospital from March 2018 to May 2019.According to the random number table method,they were divided into 48 cases in group A(routine drug+non-invasive ventilator treatment)and group B(combined with naloxone treatment),and the efficacy and blood gas indexes before and after treatment were compared between the two groups.Results The total effective rate in group B was 95.83%,higher than that in group A(77.08%),with significant difference(P<0.05).There was no significant difference in PaO2 and PaCO2 levels between the two groups before treatment(P>0.05).After treatment,the level of PaO2 in group B was higher than that in group A,and the level of PaCO2 was lower than that in group A,with significant differences(P<0.05).Conclusion Noninvasive ventilator+naloxone is of high value in elderly patients with COPD complicated by respiratory failure.

关 键 词：无创呼吸机 纳洛酮 慢性阻塞性肺疾病 有效率 呼吸衰竭 血气指标 

分 类 号：R974[医药卫生—药品]