世界睡眠医学杂志2024,Vol.11Issue(6) :1393-1395,1399.DOI:10.3969/j.issn.2095-7130.2024.06.061

无创呼吸机治疗对慢性阻塞性肺疾病伴呼吸衰竭患者睡眠质量的影响

The Effect of Non-invasive Ventilation on Sleep Quality in COPD Patients with Respiratory Failure

许芬荷 林继清
世界睡眠医学杂志2024,Vol.11Issue(6) :1393-1395,1399.DOI:10.3969/j.issn.2095-7130.2024.06.061

无创呼吸机治疗对慢性阻塞性肺疾病伴呼吸衰竭患者睡眠质量的影响

The Effect of Non-invasive Ventilation on Sleep Quality in COPD Patients with Respiratory Failure

许芬荷 1林继清1
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作者信息

  • 1. 宁德师范学院附属宁德市医院,宁德,352100
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摘要

目的:探究无创呼吸机治疗慢性阻塞性肺疾病(COPD)伴呼吸衰竭的效果与价值.方法:选取2022年10月至2023年10月宁德师范学院附属宁德市医院呼吸与危重症医学科收治的COPD伴呼吸衰竭患者70例作为研究对象,按照随机数字表法分为对照组和观察组,每组35例.对照组给予常规治疗,观察组应用无创呼吸机治疗,比较2组动脉血气参数、肺功能指标、睡眠质量.结果:观察组测定血氧饱和度(SaO2)、血氧分压(PaO2)指标值更高,二氧化碳分压(PaCO2)更低,差异有统计学意义(P<0.05).治疗后,观察组最高呼气流速(PEF)、1 s用力呼气容积(FEV1)、用力肺活量(FVC)、FEV1/FVC指标值均更高,差异有统计学意义(P<0.05).治疗后,观察组睡眠效率、总睡眠时间指标值更高,觉醒次数、睡眠潜伏期指标值更低,差异有统计学意义(P<0.05).结论:COPD伴呼吸衰竭患者应用无创呼吸机治疗,对动脉血气参数、肺功能指标改善以及睡眠质量提升等均可产生积极影响.

Abstract

Objective:To explore the effectiveness and value of non-invasive ventilation in the treatment of chronic obstructive pulmonary disease(COPD)with respiratory failure.Methods:A total of 70 COPD patients with respiratory failure admitted to the Respiratory and Critical Care Medicine Department of Ningde City Hospital Affiliated to Ningde Normal University from October 2022 to October 2023 were selected.The included samples were divided into two groups according to the random number table method.The control group(35 cases)received routine treatment,while the observation group(35 cases)received non-invasive ventilation treatment.The arterial blood gas parameters,lung function indicators,and sleep quality of the two groups were com-pared.Results:The observation group measured higher values of blood oxygen saturation(SaO2)and partial pressure of blood oxy-gen(PaO2),and lower values of partial pressure of carbon dioxide(PaCO2),the difference was statistically significant(P<0.05).After treatment,the highest expiratory flow rate(PEF),forced expiratory volume at 1 second(FEV1),forced vital capacity(FVC),and F EVV1/FVC index values were all higher in the observation group the difference was statistically significant(P<0.05).After treatment,the observation group had higher values of sleep efficiency and total sleep time indicators,while lower val-ues of awakening frequency and sleep latency indicators,the difference was statistically significant(P<0.05).Conclusion:The use of non-invasive ventilation in COPD patients with respiratory failure can have a positive impact on arterial blood gas parame-ters,lung function indicators,and sleep quality improvement.

关键词

慢性阻塞性肺疾病/呼吸衰竭/机械通气/无创呼吸机/效果/血气指标/肺功能/睡眠质量

Key words

Chronic obstructive pulmonary disease/Respiratory failure/Mechanical ventilation/Non invasive ventilator/Effect/Blood gas indicators/Lung function/Sleep quality

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出版年

2024
世界睡眠医学杂志

世界睡眠医学杂志

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