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BiPAP呼吸机治疗COPD呼吸衰竭的疗效观察
引用本文:徐立新,方文锦,张景文,陈萍,梁娅萍. BiPAP呼吸机治疗COPD呼吸衰竭的疗效观察[J]. 赣南医学院学报, 2008, 28(6): 836-837
作者姓名:徐立新  方文锦  张景文  陈萍  梁娅萍
作者单位:江西省景德镇市第二人民医院,江西,景德镇,333000
摘    要:
目的:探讨经面罩无创正压通气(NIPPV)在治疗慢性阻塞性肺疾病(COPD)并急性呼吸衰竭(ARF)中的疗效。方法:选取适当COPD并ARF的患者共32例,分成A、B两组,B组进行常规治疗,A组在常规治疗基础上加用NIPPV。结果:A组在pH、心率(HR)、呼吸(RR)、平均血压(MBP)、住院天数与B组差异明显(P〈0.05),PaO2、PaCO2与B组存在显著差异(P〈0.01)。结论:以NIPPV治疗早期COPD并ARF患者,可以提高抢救成功率,避免了早期气管切开或插管,缩短了住院时间。

关 键 词:无创间歇正压通气  慢性阻塞性肺疾病  急性呼吸衰竭  血气分析

The curative effect of BiPAP in treating COPD with respiratory failure
XU Li-xin,FANG Wei-jing,ZHANG Jing-wen,et al. The curative effect of BiPAP in treating COPD with respiratory failure[J]. Journal of Gannan Medical College, 2008, 28(6): 836-837
Authors:XU Li-xin  FANG Wei-jing  ZHANG Jing-wen  et al
Affiliation:XU Li-xin,FANG Wei-jing,ZHANG Jing-wen,et al(The Second People's Hospital of Jingdezhen,Jingdezhen Jiangxi 333000)
Abstract:
Obiective:To discuss the curative effect of noninvasive positive pressure ventilation(NIPPV) therapy on chronic obstructive pulmonary disease(COPD)with acute respiratory failure(ARF).Methods:32 patients suffering from COPD with respiratory failure were divided into A and B groups.B group got low bypass oxygen absorption continually by nasal tube.A group got one more measure as ventilation treatment by NIPPV respiration.Results:The results showed that PaO2 PaCO2 of A group was significant improved than B gro...
Keywords:BiPAP  chronic obstructive pulmonary disease  acute respiratory failure  Blood gas analysis  
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