首页|电子支气管镜肺泡灌洗辅助无创正压通气疗法对老年COPD伴呼吸衰竭患者肺功能、血气指标的影响

电子支气管镜肺泡灌洗辅助无创正压通气疗法对老年COPD伴呼吸衰竭患者肺功能、血气指标的影响

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目的 分析电子支气管镜肺泡灌洗辅助无创正压通气(NPPV)治疗老年COPD伴呼吸衰竭的临床效果.方法 136例老年COPD伴呼吸衰竭患者随机分为两组,对照组给予NPPV治疗,观察组给予电子支气管镜肺泡灌洗辅助NPPV治疗,比较两组的肺功能、血气指标.结果 治疗后,观察组的FVC、FEV1、FEV1/FVC、PaO2、SaO2水平均高于对照组,PaCO2水平低于对照组(P<0.05).结论 电子支气管镜肺泡灌洗辅助NPPV能提高老年COPD伴呼吸衰竭患者的肺功能,改善动脉血气指标.
Impact of Electronic Bronchoscope Alveolar Lavage Assisted Non-Invasive Positive Pressure Ventilation Therapy on Pul-monary Function and Blood Gas Indicators of Elderly Patients with COPD Complicated with Respiratory Failure
Objective To analyze the clinical effect of electronic bronchoscope alveolar lavage assisted non-invasive positive pressure ventilation(NPPV)in the treatment of elderly COPD complicated with respiratory failure.Methods 136 elderly patients with COPD complicated with respiratory failure were randomly divided into two groups.The control group was treated with NPPV,and the observation group was treated with electronic bronchoscope alveolar lavage assisted NPPV.The pulmonary function and blood gas indicators were compared between the two groups.Results After treatment,the levels of FVC,FEV1,FEVi/FVC,PaO2 and SaO2 in the observation group were higher than those in the control group,and the level of PaCO2 was lower than that in the control group(P<0.05).Conclusions Electronic bronchoscope alveolar lavage assisted NPPV can improve the pulmonary function and arterial blood gas indicators of elderly patients with COPD complicated with respiratory failure.

COPDRespiratory failureNPPVElectronic bronchoscope alveolar lavagePulmonary functionBlood gas indicator

王保龙、张佩寅、全倚

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淅川县人民医院呼吸与危重症医学科,河南南阳 474450

COPD 呼吸衰竭 无创正压通气 电子支气管镜肺泡灌洗 肺功能 血气指标

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(4)
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