首页|低分子肝素钠联合常规药物治疗慢性阻塞性肺疾病合并呼吸衰竭患者的效果

低分子肝素钠联合常规药物治疗慢性阻塞性肺疾病合并呼吸衰竭患者的效果

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目的:探讨低分子肝素钠治疗慢性阻塞性肺疾病(COPD)合并呼吸衰竭的临床疗效.方法:将商丘市第一人民医院于2021年4月—2023年4月收治的72例COPD并呼吸衰竭患者随机分为两组,即对照组与试验组,每组36例.对照组给予常规治疗,试验组在常规治疗基础上加用低分子肝素钠,两组均连续治疗10 d.比较两组临床疗效、血气分析指标[动脉血PH值、动脉血氧分压(PaO2)、动脉血二氧化碳分压(PaCO2)]、肺功能指标[第一秒用力呼吸容积(FEV1)、用力肺活量(FVC)、呼气峰值流速(PEF)]及不良反应发生情况.结果:治疗后,试验组治疗总有效率高于对照组(P<0.05);试验组动脉血PH值、PaO2水平高于对照组,PaCO2水平低于对照组(P<0.05);试验组FEV1、FVC以及PEF均高于对照组(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05).结论:低分子肝素钠治疗COPD合并呼吸衰竭患者具有良好的临床疗效,可改善血气分析指标和肺功能,且安全性较好.
Effect of Low Molecular Heparin Sodium Combined with Conventional Drugs in the Treatment of Patients with Chronic Obstructive Pulmonary Disease Complicated with Respiratory Failure
Objective:To investigate the clinical efficacy of low molecular weight heparin sodium in the treatment of chronic obstructive pulmonary disease (COPD) with respiratory failure. Methods:A total of 72 patients with COPD and respiratory failure admitted to Shangqiu First People's Hospital from April 2021 to April 2023 were randomly divided into two groups,namely the control group and the experimental group,with 36 patients in each group. The control group was given routine treatment,and the experimental group was treated with low molecular weight heparin sodium on the basis of routine treatment. Both groups were treated continuously for 10 days. The clinical efficacy,blood gas analysis indexes[arterial blood PH value,arterial partial pressure of oxygen (PaO2),arterial partial pressure of carbon dioxide (PaCO2)],lung 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:After treatment,the total effective rate of the experimental group was higher than that of the control group (P<0.05). The arterial blood PH value and PaO2 level in the experimental group were higher than those in the control group,and the PaCO2 level was lower than that in the control group (P<0.05). FEV1,FVC and PEF in the experimental group were higher than those in the control group (P<0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05). Conclusion:Low molecular weight heparin sodium has good clinical efficacy in the treatment of COPD patients with respiratory failure,which can improve blood gas analysis index and lung function,and has good safety.

Chronic obstructive pulmonary diseaseRespiratory failureLow molecular weight heparin sodiumBlood gas indexLung function

陈家慧、杨美菊、朱珍珍

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商丘市第一人民医院,河南商丘 476000

慢性阻塞性肺疾病 呼吸衰竭 低分子肝素钠 血气指标 肺功能

2024

中国药物滥用防治杂志
中国药物滥用防治协会 军事医学科学院毒物药物研究所

中国药物滥用防治杂志

影响因子:0.584
ISSN:1006-902X
年,卷(期):2024.30(11)