深呼吸法与间断无创通气治疗老年慢性阻塞性肺疾病

目的探讨提高慢性阻塞性肺疾病(COPD)者呼吸功能的治疗方法。方法5例PaCO260～70mmHg者间断无创通气治疗,1.5h/次,2～3次/d。4例PaCO250～60mmHg者接受间断深呼吸和呼吸方式训练,首先纠正胸腹矛盾运动,每次深呼吸10～20次,3～5次/d。结果两组治疗后血气指标达到或接近正常。活动能力明显增加,无创通气组平均住院日为治疗前的18.64％,平均住院费为治疗前的12.72％。结论间断无创通气和深呼吸法均为较好的提高COPD患者呼吸功能的方法。

Discontinuous non-invasive mechanical ventilation and deep breathing in COPD induced chronic hypercapnic respiratory failure

Objective To investigate the ways of improving respiratory function of patients with chronic obstuctive pulmonary disease(COPD) .Methods Discontinous non-invasive positive pressure ventilation(DNIHV)was used in 5 patients whose level of PaCO2 was 60～70 mmHg(1.5 hourseach time, 2～3 times/day). 4 patients whose level of PaCO0 was 50～60 mmHg accepted discontinuos deep breath and respiratory pattern traninig(deepbreath: 10～20 times each time, 3～5 times/day). Results All patients ' level of arterial blood gas reached or approached normal levels after treat-ment Exercise capacility improved significantly. Mean hospitalization phase decreased significantly (117 days vs 9 days for one year), and mean costdecreased by 12. 72% in DNIHV group. Conclusion Both DNIHV and deep breath could improved respiratory function of patients with COPD.