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无创呼吸机治疗慢阻肺急性加重期患者的疗效

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目的 分析慢性阻塞性肺疾病(慢阻肺)急性加重期患者实施无创呼吸机治疗的临床效果。方法 择取 58 例慢阻肺急性加重期患者,采用电脑随机数字表法分为对比组与研究组,每组 29 例。对比组患者展开常规治疗,研究组患者实施无创呼吸机治疗。对比两组治疗效果、肺功能指标[第 1 秒用力呼气容积(FEV1)、用力肺活量(FVC)、呼气峰值流速(PEF)]、不良反应发生情况。结果 研究组患者的治疗总有效率为 96。55%(28/29),高于对比组患者的 75。86%(22/29),差异有统计学意义(χ2=5。220、P=0。022<0。05)。治疗后,研究组患者FEV1(1。85±0。40)L、FVC(2。99±0。60)L、PEF(4。62±0。70)L/s均高于对比组的(1。50±0。30)L、(2。42±0。51)L、(3。89±0。60)L/s,差异有统计学意义(t=3。770、3。898、4。264,P=0。000、0。000、0。000<0。05)。研究组患者不良反应发生率为 6。90%(2/29),低于对比组患者的27。59%(8/29),差异有统计学意义(χ2=4。350、P=0。037<0。05)。结论 无创呼吸机治疗慢阻肺急性加重期患者的效果显著,可显著改善患者肺功能指标,降低不良反应,促进预后恢复。
The efficacy of non-invasive ventilator in the treatment of patients with acute exacerbation of chronic obstructive pulmonary disease
Objective To analyze the clinical effect of non-invasive ventilator in the treatment of patients with acute exacerbation of chronic obstructive pulmonary disease.Methods 58 patients with acute exacerbation of chronic obstructive pulmonary disease were selected and divided into a comparison group and a study group by computer random number table method,with 29 cases in each group.Patients in the comparison group were treated with conventional treatment,and patients in the study group were treated with non-invasive ventilator.The therapeutic effect,pulmonary function indexes[forced expiratory volume in one second(FEV1),forced vital capacity(FVC),peak expiratory flow rate(PEF)]and adverse reactions were compared between the two groups.Results The total effective rate of the study group was 96.55%(28/29),which was higher than 75.86%(22/29)of the comparison group,and there was significant difference(χ2=5.220,P=0.022<0.05).After treatment,the study group had FEV1 of(1.85±0.40)L,FVC of(2.99±0.60)L,PEF of(4.62±0.70)/L/s,which were higher than(1.50±0.30)L,(2.42±0.51)L,(3.89±0.60)/L/s in the comparison group,and there was significant difference(t=3.770,3.898,4.264;P=0.000,0.000,0.000<0.05).The total incidence of adverse reactions in the study group was 6.90%(2/29),which was lower than 27.59%(8/29)in the comparison group,and there was significant difference(χ2=4.350,P=0.037<0.05).Conclusion Non-invasive ventilator has significant effect on patients with acute exacerbation of chronic obstructive pulmonary disease,and can improve the lung function index,reduce adverse reactions,and promote the recovery of prognosis.

Non-invasive ventilatorAcute exacerbation of chronic obstructive pulmonary diseasePulmonary function

程宇飞、赖永新、纪春东

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123000 辽宁省健康产业集团阜新矿总医院

无创呼吸机 慢性阻塞性肺疾病急性加重期 肺功能

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(13)
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