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目的探讨无创通气治疗慢性阻塞性肺疾病并Ⅱ型呼衰的临床应用价值。方法对42例慢性阻塞性肺疾病型呼衰患者采用BiPAP呼吸机经口鼻面罩正压通气,观察治疗前后血气分析的PH,PaO2,PaCO2,SBP,HR,RR指标变化。结果通气后PaO2明显升高,PaCO2明显降低,PH明显改善,差异均有显著性(P<0.05)。结论BiPAP呼吸机经口鼻面罩无创通气治疗慢性阻塞性肺疾病并Ⅱ型呼衰疗效满意,无明显并发症,值得临床推广应用。
Objective To investigate the clinical value of noninvasive ventilation in treating chronic obstructive pulmonary disease (COPD) and type Ⅱ respiratory failure. Methods Forty - two patients with chronic obstructive pulmonary disease (COPD) respiratory failure were treated with BiPAP ventilator. The changes of PH, PaO2, PaCO2, SBP, HR and RR were observed before and after treatment. Results PaO2 significantly increased after ventilation, PaCO2 decreased significantly, PH improved significantly, the difference was significant (P <0.05). Conclusion BiPAP ventilator is effective in treating chronic obstructive pulmonary disease and type Ⅱ respiratory failure by nasal and nasal mask noninvasive ventilation without obvious complication and is worthy of clinical application.