首页|高流量氧疗仪治疗慢性阻塞性肺疾病急性加重期合并Ⅱ型呼吸衰竭的效果分析

高流量氧疗仪治疗慢性阻塞性肺疾病急性加重期合并Ⅱ型呼吸衰竭的效果分析

The Analysis of the Effect of High Flow Oxygen Therapy Instrument on Acute Exacerbation of COPD with Type Ⅱ Respiratory Failure

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目的:分析在慢性阻塞性肺疾病(COPD)急性加重期合并Ⅱ型呼吸衰竭患者中实施高流量氧疗仪辅助治疗的效果.方法:选择2020年4月~2021年4月本院收治的COPD急性加重期合并Ⅱ型呼吸衰竭病例96例,依据计算机表法分为对照组与观察组各48例,并分别开展常规治疗和高流量氧疗仪治疗,期间记录动脉血气分析指标、血清炎症水平,评估肺功能,统计并发症情况,对治疗时焦虑评分进行对比.结果:观察组动脉血氧分压、第1秒用力呼气容积(FEV1)、一秒率(FEV1/FVC)均显著高于对照组,P<0.05;但观察组PCO2,血清炎症水平,焦虑评分均显著低于对照组,P<0.05.结论:在COPD急性加重期合并Ⅱ型呼吸衰竭的治疗中予以高流量氧疗治疗,可以有效改善患者的血气指标,降低人体炎性水平,从而促进患者的肺部功能康复,并发症风险低,提高临床疗效.
Objective:To analyze the effect of high flow oxygen therapy(HNFC)in patients with acute exacerbation of chronic obstructive pulmonary disease(COPD)and type Ⅱ respiratory failure.Methods:96 cases of acute exacerbation of COPD with type Ⅱ respiratory failure were selected this time.According to the computer table method,48 cases were included in the control group and 48 cases in the observation group from April 2020 to April 2021,and routine treatment and HNFC treatment were carried out respectively.During this period,arterial blood gas analysis indicators and serum inflammation levels were recorded,pulmonary function was evaluated,complications were counted,and anxiety scores during treatment were compared.Results:The PaO2,FEV1,FEV1/FVC levels in the observation group were significantly higher than those in the control group,P<0.05;However,the PCO2,serum inflammation level,and anxiety score of the observation group were significantly lower than those of the control group(P<0.05).Conclusion:High flow oxygen therapy in the treatment of acute exacerbation of COPD with type Ⅱ respiratory failure can effectively improve the blood gas indicators of patients,reduce the inflammatory level of the body,thus promoting the rehabilitation of patients'pulmonary function,reducing the risk of complications and improving the clinical efficacy.

high flow oxygen therapy instrumentchronic obstructive pulmonary diseasetype Ⅱ respiratory failurecurative effect

陈延珑、陈燕珍

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泉州市第一医院呼吸内科(福建 泉州 362000)

泉州市永春县仙夹卫生院(福建 泉州 362600)

高流量氧疗仪 慢性阻塞性肺疾病 Ⅱ型呼吸衰竭 疗效

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(1)
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