首页|慢阻肺患者使用无创呼吸机联合氧气驱动雾化吸入治疗的效果分析

慢阻肺患者使用无创呼吸机联合氧气驱动雾化吸入治疗的效果分析

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目的 分析慢性阻塞性肺疾病(简称慢阻肺)使用无创呼吸机联合氧气驱动雾化吸入治疗的效果.方法 方便选择荣成市人民医院于2022年1月—2023年5月收治的84例慢阻肺患者为研究对象,用随机数表法分为对照组和观察组,每组42例.对照组使用无创呼吸机治疗,观察组在对照组的基础上联合氧气驱动雾化吸入治疗.对比两组的疗效、安全性、症状改善时间、血气分析指标、肺功能指标.结果 观察组治疗总有效率明显高于对照组(97.62%vs 80.95%),差异有统计学意义(x2=4.480,P<0.05).两组患者不良反应发生情况比较,差异无统计学意义(P>0.05).观察组的退热、咳嗽持续、肺部啰音时间短于对照组,差异有统计学意义(P均<0.05).观察组的动脉血二氧化碳分压、动脉血氧分压、呼吸频率优于对照组,差异有统计学意义(P均<0.05).观察组的第一秒呼气容积与用力肺活量比值、第一秒用力呼气容积优于对照组,差异有统计学意义(P均<0.05).结论 无创呼吸机联合氧气驱动雾化吸入治疗慢阻肺整体效果理想,可以改善患者的肺功能和血气指标.
Effect of Non-invasive Ventilator Combined with Oxygen Driven Atomiza-tion Inhalation in Patients with COPD
Objective To analyze the effect of non-invasive ventilator combined with oxygen driven atomization inhala-tion on chronic obstructive pulmonary disease(COPD).Methods A total of eighty-four COPD patients admitted to Rongcheng People's Hospital from January 2022 to May 2023 were conveniently selected as the study objects,and were divided into control group and observation group by random number table method,with forty-two cases in each group.The control group was treated with non-invasive ventilator.Observation group,on the basis of the control group combined with oxygen driven atomization inhalation treatment.The efficacy,safety,symptom improvement time,blood gas analysis index and lung function index were compared between the two groups.Results The total effective rate of the observation group was significantly higher than that of the control group(97.62%vs 80.95%),and the difference was statistically significant(x2=4.480,P<0.05).There was no statistical significance in the occurrence of adverse reac-tions between the two groups(P>0.05).The duration of fever,cough and lung rales in the observation group were shorter than those in the control group,and the differences were statistically significant(all P<0.05).The partial pres-sure of arterial blood carbon dioxide,partial pressure of arterial blood oxygen and respiratory rate of observation group were better than those of control group,the differences were statistically significant(all P<0.05).The ratio of the first second expiratory volume to forced vital capacity and the first second forced expiratory volume of the observation group were better than those of the control group,and the differences were statistically significant(both P<0.05).Con-clusion The overall effect of non-invasive ventilator combined with oxygen driven atomization inhalation is ideal,which can improve the lung function and blood gas indexes of patientse.

Non-invasive ventilatorChronic obstructive pulmonary diseaseOxygen driven atomizationLung functionBlood gas analysis index

胡伟联、顾珊珊、孔倩倩

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荣成市人民医院呼吸与危重症医学科,山东威海 264300

荣成市人民医院感染性疾病科,山东威海 264300

无创呼吸机 慢性阻塞性肺疾病 氧气驱动雾化 肺功能 血气分析指标

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(15)