无创正压通气治疗COPD并呼吸衰竭疗效观察

耳的评价无创正压通气（NPPV）治疗慢性阻塞性肺疾病（COPD）呼吸衰竭临床应用价值。方法回顾性分析COPD并呼吸衰竭86例患者的临床资料，比较使用NPPV和未使用NPPV治疗前后动脉血气分析及临床症状。结果采用NPPV治疗1d后患者pH值升高（P〈0．05），PaO2明显升高（P〈0．01），PaCO2明显降低（P〈0．01），未采用NPPV治疗1d后PaO2升高（P〈0．05），但pH值仍无显著改善（P〉0．05），同时，NPPV治疗组患者心脑并发症和死亡比例明显低于非NPPV组（P〈0．01）。结论NPPV治疗COPD并呼吸衰竭在早期可纠正缺氧和CO2潴留，减少心脑并发症，降低死亡率。

Clinical observation on noninvasive positive pressure ventilaifim in the treatment of COPD with respiratory failure

Objective To evaluate the non - invasive positive pressure ventilation （NPPV） in the treatment of chronic obstructive pulmonary＇disease （COPD） with respiratory failure. Methods A retrospective analysis of COPD with respiratory failure on 86 cases, compared with the befor and after treatment NPPV arterial blood gas analysis and clinical symptoms. Results NPPV days after a treatment of patients with pH value increased （ P 〈 0.05 ）, PaO2 significantly higher （ P 〈 0. 01 ）, PaCO2 pressure decreased significantly （ P 〈 0.01 ）, did not use NPPV days after a treatment increased PaO2 （ P 〈 0. 05 ）, but the PH value of no significant improvement （P 〉 0.05 ）, at the same time, NPPV in the treatment group and complications in patients with cardiovascular and cerebrovascular death was significantly lower than the proportion of non - NPPV group （ P 〈 0.01 ）. Conclusion NPPV respiratory failure and treatment of COPD in the early and correct hypoxia CO2 retention and reduce cardiovascular and eerebrovascular complications and lower mortality.