无创呼吸机治疗慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭的临床疗效

发布时间：2019-06-27 15:04

【摘要】：目的探究无创呼吸机治疗慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭的临床疗效。方法在2014年1月—2016年12月方便选取该院收治的84例慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者进行分析,采用随机抽签分类法将所有患者分为参照组和研究组,每组实验样本为42例,参照组对患者进行常规治疗,研究组在常规治疗的基础上采用无创呼吸机治疗,评估两组患者的治疗效果、血气分析指标改善情况以及生命体征改善情况。结果相对于参照组,研究组患者的治疗总有效率(96.92%)明显高于参照组,且研究组患者经治疗后的血气分析指标p H值(7.42±0.36)、Pa CO2(6.78±1.42)mm H2O、Pa O2(10.59±1.35)mm H2O,生命体征RR(16.75±3.17)次/min、HR(87.32±10.22)次/min、Sa O2(95.85±5.20)%改善情况更好,各指标比较差异有统计学意义(P0.05)。结论在常规治疗的基础上采用无创呼吸机对慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者治疗,可有效提高患者的治疗效果,改善患者的血气分析指标以及生命体征,值得临床深究。
[Abstract]:Objective to investigate the clinical effect of noninvasive ventilator in the treatment of chronic obstructive pulmonary disease complicated with type II respiratory failure. Methods from January 2014 to December 2016, 84 patients with chronic obstructive pulmonary disease complicated with type II respiratory failure were selected and analyzed. All patients were divided into reference group and study group by random drawing method, with 42 experimental samples in each group. The patients in the reference group were treated with routine treatment, and the patients in the study group were treated with noninvasive ventilator on the basis of routine treatment to evaluate the therapeutic effect of the two groups. The improvement of blood gas analysis indexes and vital signs. Results compared with the control group, the total effective rate of treatment in the study group (96.92%) was significantly higher than that in the control group. The pH value of blood gas analysis index in the study group was (7.42 卤0.36), Pa CO2) mm H 2O, Pao 2 (10.59 卤1.35) mm H 2O, vital sign RR (16.75 卤3.17) / min,HR (87.32 卤10.22) / min,Sa O 2 (95.85 卤5.20)%. The difference of each index was statistically significant (P 0.05). Conclusion on the basis of routine treatment, noninvasive ventilator can effectively improve the therapeutic effect, blood gas analysis index and vital signs of patients with chronic obstructive pulmonary disease complicated with type II respiratory failure, which is worthy of further clinical study.
【作者单位】：江苏省兴化市人民医院呼吸内科;
【分类号】：R563

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