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目的探讨无创正压机械通气(NIPPV)治疗慢性阻塞性肺病(COPD)合并Ⅱ型呼吸衰竭的临床疗效。方法 78例患者分为两组,试验组48例在常规治疗基础上加用NIPPV治疗,观察NIPPV治疗前、后患者呼吸、心律、血气指标变化和病情改善程度;对照组30例予以常规治疗。结果试验组经NIPPV治疗后患者呼吸、心率及血气分析等指标改善明显优于对照组(P<0.05)。结论 NIPPV治疗COPD合并Ⅱ型呼吸衰竭疗效显著。
Objective To investigate the clinical efficacy of noninvasive positive pressure mechanical ventilation (NIPPV) in the treatment of chronic obstructive pulmonary disease (COPD) with type Ⅱ respiratory failure. Methods 78 patients were divided into two groups. The experimental group (48 cases) was treated with NIPPV on the basis of routine treatment. The changes of respiration, heart rate and blood gas index before and after NIPPV treatment were observed and 30 cases were treated routinely. Results After treatment with NIPPV, the improvement of respiratory, heart rate and blood gas analysis in the experimental group was significantly better than that of the control group (P <0.05). Conclusion NIPPV treatment of COPD with type Ⅱ respiratory failure significant effect.