首页|无创呼吸机治疗慢阻肺合并Ⅱ型呼吸衰竭的临床效果分析

无创呼吸机治疗慢阻肺合并Ⅱ型呼吸衰竭的临床效果分析

扫码查看
目的 分析慢性阻塞性肺疾病(简称慢阻肺)合并Ⅱ型呼吸衰竭患者应用不同通气治疗的临床效果.方法 方便选取2021年1月—2022年12月贵州省金沙县人民医院收治的94例慢阻肺并Ⅱ型呼吸衰竭患者为研究对象.遵照随机数表字法分为两组,每组47例.两组患者均予以常规治疗,在常规治疗基础上,对比组给予有创通气治疗,观察组给予无创呼吸机治疗.对比两组患者的治疗效果.结果 治疗前,两组患者肺功能指标水平对比,差异无统计学意义(P>0.05);治疗后,观察组肺功能指标水平高于对比组,差异有统计学意义(P<0.05).观察组血气指标优于对比组,差异有统计学意义(P<0.05).观察组的心率、呼吸频率低于对比组,差异有统计学意义(P均<0.05).观察组的脱机时间短于对比组,差异有统计学意义(P<0.05).观察组的治疗有效率(97.87%)高于对比组(82.98%),差异有统计学意义(χ2=4.424,P=0.035).两组患者不良事件发生率对比,差异无统计学意义(P>0.05).结论 慢阻肺合并Ⅱ型呼吸衰竭患者应用常规治疗联合无创呼吸机治疗,可提升患者的血氧分压水平,减少心率波动,促进肺功能恢复.
Clinical Effect of Noninvasive Ventilator in the Treatment of Chronic Ob-structive Pulmonary Disease with Type Ⅱ Respiratory Failure
Objective To analyze the clinical effect of different ventilation in patients with chronic obstructive pulmo-nary disease(COPD)and type Ⅱ respiratory failure.Methods A total of 94 patients with COPD and type Ⅱ respira-tory failure admitted to Jinsha County People's Hospital of Guizhou Province from January 2021 to December 2022 were conveniently selected as the study objects.According to the random number table method,they were divided into two groups,47 cases in each group.Patients in both groups were given conventional treatment.On the basis of conven-tional treatment,the comparison group was given invasive ventilation treatment,and the observation group was given noninvasive ventilator treatment.The therapeutic effect of the two groups was compared.Results Before treatment,there was no significant difference in the level of lung function indexes between the two groups(P>0.05).After treat-ment,the level of lung function index in observation group was higher than that in comparison group,and the differ-ence was statistically significant(P<0.05).The blood gas index of observation group was better than that of comparison group,and the difference was statistically significant(P<0.05).The heart rate and respiratory rate of the observation group were lower than those of the comparison group,and the differences were statistically significant(both P<0.05).The offline time of observation group was shorter than that of comparison group,and the difference was statistically sig-nificant(P<0.05).The effective rate of observation group(97.87%)was higher than that of comparison group(82.98%),and the difference was statistically significant(χ2=4.424,P=0.035).There was no significant difference in the inci-dence of adverse events between the two groups(P>0.05).Conclusion Conventional treatment plus non-invasive venti-lator can improve blood oxygen partial pressure,reduce heart rate fluctuation and promote lung function recovery in COPD patients with type Ⅱ respiratory failure.

Noninvasive ventilatorChronic obstructive pulmonary diseaseType Ⅱ respiratory failure

郑文奇、周裕祥、娄婷婷

展开 >

贵州省金沙县人民医院呼吸与危重症医学科,贵州 毕节 551800

贵州航天医院呼吸与危重症医学科,贵州 遵义 563003

桐梓县人民医院呼吸与危重症医学科,贵州 桐梓 563200

无创呼吸机 慢性阻塞性肺疾病 Ⅱ型呼吸衰竭

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(20)