论文部分内容阅读
目的对面罩式无创通气在COPD呼吸衰竭治疗中的应用和效果进行探讨。方法选择中国人民解放军总医院在2007年9月—2010年8月期间接诊的40例慢性阻塞性疾病急性发作期的呼吸衰竭患者作为本组研究对象,将40例患者随机分为观察组和对照组,每组20例,观察组在采用常规治疗的基础上,采用双水平气道正压BIPAP呼吸机面罩式无创通气进行辅助治疗。结果与对照组比较,观察组采用呼吸机进行辅助治疗的患者,在治疗前后各项血气分析参数有较大变化(P<0.05),说明呼吸机辅助治疗COPD呼吸衰竭具有较好的疗效。结论人工呼吸机的使用已经成为目前临床辅助治疗呼吸衰竭中重要的一种手段,其使用方便,患者痛苦小,值得临床推广使用。
Objective To discuss the application and effect of mask-based non-invasive ventilation in the treatment of COPD respiratory failure. Methods Forty patients with respiratory failure who were admitted to Chinese PLA General Hospital during the period from September 2007 to August 2010 were selected as the study subjects and 40 patients were randomly divided into observation group and control group The control group, 20 cases in each group. The observation group was assisted by maskless noninvasive ventilation with bipolar BIPAP ventilator on the basis of conventional treatment. Results Compared with the control group, the parameters of the blood gas analysis before and after treatment in the observation group were significantly changed (P <0.05), indicating that ventilator-assisted therapy of COPD with respiratory failure has a good effect. Conclusion The use of artificial respirator has become an important means of clinical adjuvant treatment of respiratory failure. It is easy to use and less painful and worthy of clinical promotion.