支气管镜联合无创正压通气治疗慢性阻塞性肺疾病并呼吸衰竭的临床疗效

发布时间：2018-06-24 08:54

本文选题：支气管镜 + 无创正压通气　；参考：《中国老年学杂志》2016年03期

【摘要】：目的探讨支气管镜与无创正压通气方式(NIPPV)联合治疗慢性阻塞性肺疾病(COPD)并呼吸衰竭的临床疗效。方法选择2013年5月至2014年5月该院COPD并呼吸衰竭患者100例,按数字法随机分为观察组50例及对照组50例,观察组使用支气管镜合并NIPPV方式治疗,对照组则仅使用NIPPV方式治疗,观察两组治疗疗效。结果观察组的NIPPV时间、住院时间以及住院费用均显著少于对照组(P0.05)。观察组显效率明显高于对照组(P0.05)。并且对两组患者的痰液进行检测,观察组的病原学阳性率明显高于对照组(P0.05)。两组进行治疗后,动脉血气指标均得到有效改善,但是观察组改善程度明显优于对照组(P0.05)。结论 COPD合并呼吸衰竭患者一旦呼吸道感染情况恶化,气道分泌的杂质难以自己排出时,对其实施支气管镜联合NIPPV方式治疗,可以帮助分泌物排出,使得呼吸道畅通,缓解呼吸情况。安全性较高,值得临床治疗使用推荐。
[Abstract]:Objective to investigate the clinical effect of bronchoscope combined with noninvasive positive pressure ventilation (NIPPV) in the treatment of chronic obstructive pulmonary disease (COPD) with respiratory failure. Methods from May 2013 to May 2014, 100 COPD patients with respiratory failure were randomly divided into observation group (n = 50) and control group (n = 50). To observe the curative effect of the two groups. Results the NIPPV time, hospitalization time and hospitalization cost in the observation group were significantly lower than those in the control group (P0.05). The effective rate in the observation group was significantly higher than that in the control group (P0.05). And the sputum of the two groups were detected, the positive rate of etiology in the observation group was significantly higher than that in the control group (P0.05). After treatment, the arterial blood gas index was improved effectively in both groups, but the improvement degree in the observation group was significantly better than that in the control group (P0.05). Conclusion once the respiratory tract infection in COPD patients with respiratory failure deteriorates and the impurities secreted in the airway are difficult to excrete by themselves, the bronchial endoscopy combined with NIPPV can help the secretion discharge and make the respiratory tract unblocked. Ease breathing. High safety is recommended for clinical treatment.
【作者单位】：南华大学附属南华医院呼吸内科;
【分类号】：R563.8;R563.9

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