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目的:探讨无创正压通气(NIPPV)在老年慢性阻塞性肺疾病合并重症呼吸衰竭治疗中的应用价值。方法:选举49例老年慢性阻塞性肺疾病合并重症呼吸衰竭患者,将其随机分为两组,即实验组(25例)和对照组(24例),给予对照组患者常规治疗,而实验组成员在常规治疗基础上再给予无创正压通气治疗8h。比较两组患者治疗前后的动脉血气结果以及临床症状等。结果:治疗组pH、PaO2及PaCO2均明显改善(P<0.05)。结论:早期应用无创正压通气治疗老年慢性阻塞性肺疾病合并重症呼吸衰竭患者,可以更好地提高pH和PaO2,降低PaCO2,从而改善患者的临床症状。
Objective: To investigate the value of noninvasive positive pressure ventilation (NIPPV) in the treatment of senile chronic obstructive pulmonary disease (COPD) complicated with severe respiratory failure. Methods: A total of 49 elderly COPD patients with severe respiratory failure were selected and randomly divided into two groups: experimental group (n = 25) and control group (n = 24), while patients in control group were treated routinely. In experimental group Members of the routine treatment based on non-invasive positive pressure ventilation was given 8h. The arterial blood gas results and clinical symptoms before and after treatment were compared between the two groups. Results: The treatment group, pH, PaO2 and PaCO2 were significantly improved (P <0.05). Conclusion: The early application of noninvasive positive pressure ventilation in elderly patients with chronic obstructive pulmonary disease and severe respiratory failure can better improve the pH and PaO2, reduce PaCO2, thereby improving the clinical symptoms of patients.