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目的探讨分析BiPAP呼吸机对老年慢性阻塞性肺疾病合并呼吸衰竭患者的临床治疗效果。方法选取2012年5月—2014年11月收住的82例慢阻肺合并呼吸衰竭患者为研究对象。依据治疗方案的不同将其分为对照组与治疗组,各41例。其中对照组给予抗感染、解痉、祛痰、持续低流量吸氧、纠正酸碱平衡失调及电解质紊乱以及营养支持等常规治疗。治疗组在此基础上采用BiPAP呼吸机治疗。比较2组患者治疗效果。结果治疗组总有效率为95.1%(39/41),而对照组为73.2%(30/41),经比较,2者有显著差异(~χ2=5.8506,P<0.05)。治疗组动脉血氧饱和度(SaO_2)、氧分压(PaO_2)和二氧化碳分压(PaCO_2)改善程度均显著优于对照组(P<0.05)。结论 BiPAP呼吸机可在较短时间内改善患者呼吸衰竭症状,改善动脉血气指标,有助于促进患者康复。
Objective To investigate the clinical effect of BiPAP ventilator on elderly patients with chronic obstructive pulmonary disease and respiratory failure. Methods Eighty-two COPD patients with respiratory failure admitted from May 2012 to November 2014 were selected as the study subjects. According to the different treatment options will be divided into control group and treatment group, 41 cases each. The control group was given anti-infection, antispasmodic, expectorant, sustained low flow oxygen, correct acid-base balance disorders and electrolyte disorders and nutritional support conventional treatment. The treatment group was treated with BiPAP ventilator on this basis. Compare the treatment effect of 2 groups of patients. Results The total effective rate was 95.1% (39/41) in the treatment group and 73.2% (30/41) in the control group. There was significant difference between the two groups (~ χ2 = 5.8506, P <0.05). The improvement rate of arterial oxygen saturation (SaO_2), partial pressure of oxygen (PaO_2) and partial pressure of carbon dioxide (PaCO_2) in the treatment group were significantly better than those in the control group (P <0.05). Conclusion BiPAP ventilator can improve respiratory failure symptoms and improve arterial blood gas index in a relatively short period of time, which is helpful to promote the recovery of patients.