首页|无创通气治疗COPD合并呼吸衰竭的效果

无创通气治疗COPD合并呼吸衰竭的效果

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目的 探讨无创通气治疗慢性阻塞性肺疾病(COPD)合并呼吸衰竭患者的临床效果,为临床提供可借鉴经验.方法 将2021年6月-2022年9月聊城市茌平区人民医院收治的COPD合并呼吸衰竭患者75例作为研究对象,按照随机数字表法分为对照组37例和观察组38例,对照组实施常规治疗,观察组实施无创通气治疗.比较两组临床疗效和治疗前后血气指标改善情况.结果 观察组治疗总有效率为94.74%,高于对照组的78.38%,差异有统计学意义(x2=4.341,P<0.05).治疗前,两组患者血气指标(PaO2和PaCO2)比较差异无统计学意义(P>0.05);治疗后,两组患者PaO2均升高,PaCO2均降低,且观察组Pa02高于对照组,PaCO2低于对照组,差异均有统计学意义(P<0.05).结论 应用无创通气治疗COPD合并呼吸衰竭患者可提高临床效果,有利于改善患者血气状态和病情康复,值得临床推广应用.
Effect of non-invasive ventilation in the treatment of COPD combined with respiratory failure
Objective To explore the clinical effect of non-invasive ventilation in the treatment of patients with chronic obstructive pulmonary disease(COPD)combined with respiratory failure,and to provide referential experience for clinical practice.Methods From June 2021 to September 2022,75 patients with COPD combined with respiratory failure treated in Liaocheng Chiping District People's Hospital were selected as the study objects.They were divided into control group with 37 cases and observation group with 38 cases,according to the random number table method.The control group received routine treatment,while the observation group received non-invasive ventilation treatment.The clinical efficacy and improvement of blood gas indicators before and after treatment between the two groups were compared.Results The total effective rate of the observation group was 94.74%,which was higher than 78.38%of the control group,and the difference was statistically significant(x2=4.341,P<0.05).Before treatment,there were no statistically significant differences in blood gas indicators(PaO2 and PaCO2)between the two groups of patients(P>0.05);after treatment,both groups of patients showed an increase in PaO2 and a decrease in PaCO2,and the PaO2 in the observation group was higher than that in the control group,and PaCO2 was lower than that of the control group,and the differences were statistically significant(P<0.05).Conclusion The application of non-invasive ventilation in the treatment of patients with COPD combined with respiratory failure could improve clinical effect,which was beneficial for improving patients'blood gas status and disease recovery.It was worthy of clinical promotion and application.

Chronic obstructive pulmonary diseaseRespiratory failureNon-invasive ventilationBlood gas

陈迎雪、付莹

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聊城市茌平区人民医院内科,山东 聊城 252100

慢性阻塞性肺疾病 呼吸衰竭 无创通气 血气

2024

中国城乡企业卫生
中华预防医学会 天津市职业病防治院

中国城乡企业卫生

影响因子:0.239
ISSN:1003-5052
年,卷(期):2024.39(5)