支气管镜联合无创通气治疗慢性阻塞性肺疾病急性发作并呼吸衰竭的效果评价  

Evaluation of the Effect of Bronchoscopy Combined with Noninvasive Ventilation in the Treatment of Acute Exacerbation of Chronic Obstructive Pulmonary Disease with Respiratory Failure

作　　者：黄雅毅 陈伟文[1] HUANG Ya-yi;CHEN Wei-wen(Emergency Department of Quanzhou First Hospital Affiliated to Fujian Medical University,Fujian Quanzhou 362000)

机构地区：[1]福建医科大学附属泉州第一医院急诊科,福建泉州362000

出　　处：《中国医疗器械信息》2023年第1期100-103,共4页China Medical Device Information

摘　　要：目的:评价分析支气管镜联合无创通气治疗慢性阻塞性肺疾病急性发作合并呼吸衰竭的效果。方法:纳入2019年8月~2022年8月本院收治的慢性阻塞性肺疾病急性发作合并呼吸衰竭患者106例,运用随机数字表法平均分组为对照组与观察组,每组53例患者,其中,对照组进行无创通气治疗,观察组接受支气管镜联合无创通气治疗方案,具体分析评价各项观察指标及治疗效果。结果:治疗前两组患者的血气指标值、血压、呼吸频率与心率等生命体征指标值较接近,组间数据比较不具统计学差异(P>0.05);治疗半月后,观察组患者的血压、呼吸频率与心率、二氧化碳分压、不良反应率显著低于对照组患者,而氧分压、pH值、治疗总有效率均高于对照组患者,差异具统计学差异(P<0.05)。结论:支气管镜联合无创通气治疗慢性阻塞性肺疾病急性发作合并呼吸衰竭的效果显著,能够显著改善患者的血压、呼吸频率、心率等生命体征与血气指标,降低不良反应风险。Objective: To evaluate and analyze the effect of bronchoscope combined with non-invasive ventilation in the treatment of acute exacerbation of chronic obstructive pulmonary disease with respiratory failure. Methods: 106 patients with acute exacerbation of chronic obstructive pulmonary disease(COPD) combined with respiratory failure admitted in our hospital from August 2019 to August 2022 were divided into control group and study group by random number table. 53 patients in each group were divided into control group and study group. Among them, the control group received non-invasive ventilation treatment. 53 patients in the study group received bronchoscope combined with non-invasive ventilation treatment, and the specific analysis, evaluation and treatment effect were made. Results: Before treatment, the blood gas index, blood pressure, respiratory rate and heart rate of the two groups were close to each other, and there was no statistical difference between the two groups(P>0.05);After half a month of treatment, the blood pressure, respiratory rate, heart rate, partial pressure of carbon dioxide, and adverse reaction rate of patients in the study group were significantly lower than those in the control group, while the partial pressure of oxygen, pH value, and total effective rate of treatment were higher than those in the control group, with statistical differences(P<0.05). Conclusion: Bronchoscopy combined with non-invasive ventilation has a significant effect in the treatment of acute exacerbation of chronic obstructive pulmonary disease with respiratory failure. It can improve the patient’s blood pressure, respiratory rate, heart rate and other vital signs and blood gas indicators, and reduce the risk of adverse reactions.

关 键 词：支气管镜 无创通气 慢性阻塞性肺疾病 呼吸衰竭 效果评价 

分 类 号：TH778[机械工程—仪器科学与技术]