首页|序贯机械通气在AECOPD合并Ⅱ型呼吸衰竭中的临床疗效分析

序贯机械通气在AECOPD合并Ⅱ型呼吸衰竭中的临床疗效分析

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目的探讨序贯机械通气在慢性阻塞性肺疾病急性加重期(AECOPD)合并二型呼吸衰竭中的临床疗效.方法随机选取我院2008年5月-2011年12月诊治的AECOPD合并Ⅱ型呼吸衰竭患者60例,随机分两组各30例,分别给予常规有创机械通气和序贯机械通气治疗,观察两组主要通气指标变化.结果两组的总通气时间无统计学差异(P >0.05);而序贯机械通气组有创通气时间显著缩短,呼吸机相关性肺炎(VAP)发生率、再插管率均明显降低,撤机成功率增高,与常规有创机械通气组比较具有统计学差异(P <0.05).结论序贯机械通气治疗AECOPD合并Ⅱ型呼吸衰竭的临床疗效明显,可改善患者呼吸功能和降低VAP发生率,有一定临床价值.
Application of Sequential invasive and non-invasive ventilation in treatment of AECOPD combined with typeⅡrespiratory failure
Objective To observe the effect of Sequential ventilation in treatment of AECOPD combined with typeⅡrespiratory failure. Methods 60 patients with AECOPD combined with typeⅡ respiratory failure in our hospital were randomly selected and divided into two groups. The patients in the two groups were given Sequential invasive and non-invasive ventilation and convention ventilation respectively. The main ventilation index were compared. Results The time of invasive ventilation, the rate of VAP and reintubation in sequential invasive and non-invasive ventilation group were significant shorter than invasive ventilation group(P <0.05), but it was insignificant of total ventilation time in the two groups(P >0.05). Conclusion The treatment of sequential invasive and non-invasive ventilation has more clinical effect, improved the Respiratory function and reduce the incidence of VAP.

AECOPDⅡ respiratory failureInvasive ventilation

陈伟杰、谢伟武

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511447 广州市番禺区何贤纪念医院重症医学科

AECOPD Ⅱ型呼吸衰竭 机械通气

2013

中国医疗前沿
中国医院协会

中国医疗前沿

影响因子:0.186
ISSN:1673-5552
年,卷(期):2013.(1)
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