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无创呼吸机治疗慢性阻塞性肺疾病并呼吸衰竭82例临床疗效观察
引用本文:鲁芬,杨炯.无创呼吸机治疗慢性阻塞性肺疾病并呼吸衰竭82例临床疗效观察[J].吉林医学,2010,31(21):3405-3406.
作者姓名:鲁芬  杨炯
作者单位:武汉大学中南医院呼吸内科,湖北武汉430071
摘    要:目的:主要分析鼻(面)罩无创呼吸机在治疗慢性阻塞性肺疾病(COPD)合并Ⅱ型呼吸衰竭中的积极作用,希望在今后的治疗中能取得广泛的运用。方法:任意抽取61例接受常规治疗却没有良好效果的呼吸衰竭患者,并对这61例患者进行无创通气治疗,使用美国生产的伟康无创呼吸机,2次/d,2~4h/次,治疗3d,3d后观察动脉血气情况,并做出结论。结果:大部分的患者心率、呼吸频率、血气指标都有明显的改善,比较差异均有统计学意义(P<0.01)。结论:无创呼吸机通气辅助治疗COPD合并Ⅱ型呼吸衰竭有绝对的疗效。

关 键 词:慢性阻塞性肺疾病  Ⅱ型呼吸衰竭  无创呼吸机治疗

Non-invasive ventilation in the treatment of 82 cases of COPD with respiratory failure clinical observation
LU Fen,YANG Jiong.Non-invasive ventilation in the treatment of 82 cases of COPD with respiratory failure clinical observation[J].Jilin Medical Journal,2010,31(21):3405-3406.
Authors:LU Fen  YANG Jiong
Institution:(Department of Respiratory Medicine,Zhongnan Hospital of Wuhan University,Hubei Wuhan 430071)
Abstract:Objective The main analysis of nasal (facial) mask non-invasive ventilation in chronic obstructive pulmonary disease (COPD) with type Ⅱ respiratory failure,the positive role of hope in the future treatment of a wide range of application can be made.Methods A random selection of 61 patients received conventional therapy without missing the good effects of respiratory failure,and the 61 patients were non-invasive ventilation,using U.S.production of Wei Kang noninvasive ventilator,2 times/d,2~4 h/time,treatment 3 d,3 d after the observation of arterial blood gases,and to make conclusions.Results Most patients with heart rate,respiratory rate,blood gas analysis were improved,the difference was significant(P0.01).Conclusion The non-invasive ventilator adjuvant treatment of respiratory failure COPD with type Ⅱ absolute efficacy.
Keywords:COPD  Ⅱ respiratory failure  Non-invasive ventilation in the treatment  
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