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目的:对无创机械通气的治疗方式对老年慢性阻塞性肺疾病与呼吸衰竭合并的治疗效果探讨。方法:选取62例60岁以上的老年慢性阻塞性疾病伴随呼吸衰竭的患者随机分成观察组与对照组,每组患者各31例,对照组31例患者采用常规治疗,观察组在常规的治疗基础上再进行无创机械的通气治疗,观察并将两组患者的治疗前后呼吸和心率以及动脉血气的变化情况、临床的疗效全部进行比较。结果:观察组与对照组经过治疗后有效率分别是80.6%和44.3%,两组的有效率比较差异具有统计学意义,P<0.05;观察组在通气治疗后pH和动脉氧分压(PaO2)以及动脉二氧化碳(PaCO2)分压,呼吸和心率等等指标都得到了明显的改善,P<0.05,在治疗48小时以后通气观察组的动脉氧分压和动脉二氧化碳分压均明显比对照组效果好。P<0.05。结论:经过口鼻面罩的无创通气对治疗老年的慢性阻塞性肺疾病合并呼吸衰竭有疗效,对提高动脉氧分压和动脉二氧化碳的分压以及纠正pH疗效肯定并实用简单,在早期应用可以促进疾病的康复,作为治疗老年慢性阻塞性肺部疾病的重要手段,值得临床使用。
Objective: To investigate the therapeutic effect of non-invasive mechanical ventilation on senile chronic obstructive pulmonary disease and respiratory failure. Methods: Sixty-two elderly patients with chronic obstructive disease over 60 years old with respiratory failure were randomly divided into observation group and control group, with 31 patients in each group and 31 patients in control group receiving routine treatment. The observation group was treated on the basis of routine treatment On the non-invasive mechanical ventilation treatment, observe and compare the two groups of patients before and after treatment of breathing and heart rate and arterial blood gas changes, the clinical efficacy of all the comparisons. Results: The effective rates of the observation group and the control group after treatment were 80.6% and 44.3%, respectively, with significant differences in the effective rates between the two groups (P <0.05) ) And arterial carbon dioxide (PaCO2) partial pressure, respiration and heart rate and other indicators have been significantly improved, P <0.05, 48 hours after treatment in the observation group of ventilation arterial oxygen pressure and arterial carbon dioxide partial pressure were significantly higher than the control group Good effect. P <0.05. CONCLUSIONS: Non-invasive ventilation through orifices and masks is effective in treating chronic obstructive pulmonary disease (COPD) complicated with respiratory failure in elderly patients. It is positive and practical to improve the partial pressure of arterial oxygen pressure and arterial carbon dioxide and to correct the effect of pH. Disease rehabilitation, as an important means of treating elderly chronic obstructive pulmonary disease, is worth clinical use.