首页|无创正压通气治疗慢性阻塞性肺疾病急性加重期合并呼吸衰竭的应用研究

无创正压通气治疗慢性阻塞性肺疾病急性加重期合并呼吸衰竭的应用研究

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目的:探究无创正压通气(NIPPV)对慢性阻塞性肺疾病急性加重期(AECOPD)合并呼吸衰竭(RF)患者的影响.方法:选取2021年7月-2023年7月信丰县人民医院收治的93例AECOPD合并RF患者,按随机数字表法分为两组,对照组共45例,观察组共48例.对照组行常规治疗,观察组加以NIPPV治疗.对比两组临床疗效、临床有关指标、动脉血气分析、生命体征.结果:观察组治疗总有效率高于对照组,插管率低于对照组,住院时间短于对照组;且治疗后的二氧化碳分压(PaCO2)、心率(HR)、呼吸频率(RR),低于对照组,氧分压(PaO2)高于对照组(P<0.05).结论:NIPPV可改善AECOPD合并RF患者动脉血气分析,稳定生命体征,降低插管率,提高生存率,临床可推广应用.
Application of Noninvasive Positive Pressure Ventilation in the Treatment of Acute Exacerbation of Chronic Obstructive Pulmonary Disease Complicated with Respiratory Failure
Objective:This study aims to analyze the impact of noninvasive positive pressure ventilation(NIPPV)on patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD)complicated by respiratory failure.Methods:A total of 93 patients with AECOPD complicated by respiratory failure,treated at Xinfeng County People's Hospital from July 2021 to July 2023,were randomly assigned into two groups:the control group(n=45)and the observation group(n=48).The control group received conventional treatment,while the observation group underwent NIPPV therapy.Clinical efficacy,relevant clinical indicators,arterial blood gas analysis,and vital signs were compared between the two groups.Results:The observation group exhibited a higher overall effective rate compared to the control group,the intubation rate was lower than that of the control group,and the hospital stay was shorter than that of the control group;The partial pressure of carbon dioxide(PaCO2),heart rate(HR)and respiratory rate(RR)in the treatment group were lower than those in the control group,while the partial pressure of oxygen(PaO2)was higher than that in the control group(P<0.05).Conclusion:NIPPV can improve arterial blood gas analysis,stabilize vital signs,reduce intubation rate,and improve survival rate in patients with AECOPD complicated with respiratory failure,which can be widely applied in clinic.

Chronic obstructive pulmonary diseaseRespiratory failureArterial blood gas analysis

王昱云、钟金

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江西省信丰县疾病预防控制中心地方病与慢性病防治科(江西信丰 341600)

信丰县人民医院呼吸内科(江西信丰 341600)

慢性阻塞性肺疾病 呼吸衰竭 动脉血气分析

赣州市指导性科技计划

20222ZDX8164

2024

黑龙江医药
黑龙江省药品审评认证中心

黑龙江医药

影响因子:0.597
ISSN:1006-2882
年,卷(期):2024.37(3)
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