慢性阻塞性肺疾病合并呼吸衰竭患者的临床综合方案

发布时间：2018-06-26 10:04

本文选题：慢性阻塞性肺疾病合并呼吸衰竭 + 临床综合方案　；参考：《中国地方病防治杂志》2017年04期

【摘要】：目的探讨慢性阻塞性肺疾病合并呼吸衰竭患者的临床综合方案。方法随机选取2012年5月至2015年5月本院呼吸内科收治的80例慢性阻塞性肺疾病合并呼吸衰竭患者,依据随机数字表法分这些患者为两组,即研究组(n=40)和对照组(n=40)。给予对照组患者单纯序贯机械通气治疗,给予研究组患者序贯机械通气联合综合治疗,然后对两组患者的R、HR、血气分析指标及临床疗效进行统计分析。结果研究组患者的R、HR均显著高于对照组(P0.05),SaO_2、PaO_2均显著高于对照组(P0.05),PaCO_2显著低于对照组(P0.05),治疗的总有效率77.5%(31/40)显著高于对照组52.5%(21/40)(P0.05)。结论慢性阻塞性肺疾病合并呼吸衰竭患者的临床综合方案治疗效果较好,值得推广。
[Abstract]:Objective to investigate the clinical comprehensive scheme of chronic obstructive pulmonary disease complicated with respiratory failure. Methods from May 2012 to May 2015, 80 patients with chronic obstructive pulmonary disease (COPD) complicated with respiratory failure were randomly divided into two groups: study group (n = 40) and control group (n = 40). The patients in the control group were treated with simple sequential mechanical ventilation, and the patients in the study group were treated with sequential mechanical ventilation combined with comprehensive therapy. Then the RHR, blood gas analysis index and clinical efficacy of the two groups were statistically analyzed. Results the RHR of the patients in the study group was significantly higher than that of the control group (P0.05). The RHR of the patients in the study group was significantly higher than that of the control group (P0.05). The total effective rate of the treatment was 77.5% (31 / 40) significantly higher than that of the control group (52.5%) (21 / 40) (P0.05). Conclusion the clinical comprehensive treatment of chronic obstructive pulmonary disease with respiratory failure is effective and worth popularizing.
【作者单位】：河北省中医院;
【分类号】：R563.8;R563.9

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