无创正压通气治疗慢性阻塞性肺疾病合并呼吸衰竭疗效观察

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目的观察经面罩无创正压通气治疗对慢性阻塞性肺疾病合并呼吸衰竭的临床疗效。方法选择住院的54例慢性阻塞性肺疾病合并呼吸衰竭患者随机分为治疗组27例,对照组27例,对照组常规给予药物综合治疗,治疗组在常规治疗的基础上加用无创正压通气治疗,并观察两组治疗前后血气分析变化。结果治疗组患者血气分析指标明显改善,与对照组相比,差异有统计学意义(P<0.05)。结论无创正压通气可明显改善慢性阻塞性肺疾病合并呼吸衰竭患者的血气分析指标,疗效确切,值得推广。 Objective To observe the clinical effect of noninvasive positive pressure ventilation on chronic obstructive pulmonary disease with respiratory failure. Methods 54 hospitalized patients with chronic obstructive pulmonary disease and respiratory failure were randomly divided into treatment group (n = 27) and control group (n = 27). The control group was given routine drug therapy. The treatment group was treated with noninvasive positive pressure ventilation The changes of blood gas analysis before and after treatment were observed. Results The blood gas analysis index of the treatment group was significantly improved, compared with the control group, the difference was statistically significant (P <0.05). Conclusion Noninvasive positive pressure ventilation can significantly improve the blood gas analysis index of patients with chronic obstructive pulmonary disease and respiratory failure. The curative effect is worthy of promotion.
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