无创正压通气治疗COPD并呼吸衰竭34例临床观察

目的：讨论无创正压通气法（NPPV）应用于COPD并呼吸衰竭的临床治疗的意义.方法：分析34例慢性阻塞性肺疾病并呼吸衰竭患者的临床资料,其中,治疗组17例用无创正压通气法,17例患者均为自愿使用本方法治疗,对照组17例使用常规方法治疗.对两组患者的有效率和病死率进行比较并比较患者治疗前后的血气变化情况.结果：观察组和对照组总有效率分别为82.35%和47.05%,差异有显著性（P〈0.01）;观察组的病死率为11.76%,对照组的病死率为41.18%,具有显著性差异（P〈0.01）;治疗后患者的氧分压和二氧化碳分压的变化情况有显著差异（P〈0.01）.结论：无创正压通气法治疗COPD并呼吸衰竭的临床效果明显,降低病死率,值得在临床上广泛推广.

Not creates the positive pressure ventilation to treat COPD and to breathe failure 34 example clinical observation

Objective：The discussion not creates positive pressure ventilation（NPPV）to apply in COPD and breathes the failure the clinical treatment significance. Methods：Analyzes 34 example chronieity blocking lung disease and breathes the failure patient＇s clinical material,among,the treatment group 17 examples with not create the positive pressure ventilation, 17 example patients for voluntarily use we government by law to cure, the control group 17 example use convention method treats. Carry on the comparison around to two group of patient＇s effectiveness and the case fatality rate and compare the patient to treat the courage vigor change situation. Results： The observation group and control group total effectiveness respectively are 82.35 % and 47.05 %, the difference has the significance（P〈0.01） ;Observation group＇s case fatality rate is 11.76 %, control group＇s case fatality rate is 41.18%, has the significance difference（P〈0.01）;The treatment future trouble oxygen partial pressure and the carbon dioxide differential pressure change situation has the remarkable difference（P〈0.01）. Conclusion： Not creates the positive pressure ventilation to treat COPD and to breathe the failure the clinical effect to be obvious, reduces the case fatality rate,is worth in on the clinical widespread promotion.