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无创正压通气治疗慢性阻塞性肺病伴呼吸衰竭疗效观察
引用本文:伍德生,李殿明,吴晓飞.无创正压通气治疗慢性阻塞性肺病伴呼吸衰竭疗效观察[J].蚌埠医学院学报,2011,36(9):956-958.
作者姓名:伍德生  李殿明  吴晓飞
作者单位:1. 蚌埠医学院第一附属医院急诊内科, 安徽蚌埠 233004;2. 蚌埠医学院第一附属医院呼吸内科, 安徽蚌埠 233004
摘    要:目的: 评价无创正压通气(NIPPV)治疗慢性阻塞性肺病(COPD)伴呼吸衰竭的效果。方法: 将56例COPD伴呼吸衰竭患者随机分为观察组29例和对照组27例,对照组仅给予常规抗感染、止咳化痰、解痉平喘及持续低流量氧疗,观察组在常规治疗基础上加用NIPPV治疗,48 h后观察2组治疗前后动脉血气、心率、呼吸频率改善情况。结果: 观察组PaO2增加、PaCO2下降,pH值改善,心率降低,呼吸频率下降(P < 0.05),与对照组比较差异均有统计学意义(P < 0.05)。结论: NIPPV治疗COPD伴呼吸衰竭能迅速纠正低氧血症,改善呼吸功能,快速改善患者症状,临床疗效可靠。

关 键 词:肺病  阻塞性    呼吸衰竭    无创正压通气
收稿时间:2011-03-24

Observation on the clinical therapeutic effect of NIPPV in treating chronic obstructive pulmonary disease with respiratory failure
WU De-sheng,LI Dian-ming,WU Xiao-fei.Observation on the clinical therapeutic effect of NIPPV in treating chronic obstructive pulmonary disease with respiratory failure[J].Journal of Bengbu Medical College,2011,36(9):956-958.
Authors:WU De-sheng  LI Dian-ming  WU Xiao-fei
Institution:1. Department of Emergency Medicine, The First Affiliated Hospital of Bengbu Medical College, Bengbu Anhui 233004, China;2. Department of Respiratory Medicine, The First Affiliated Hospital of Bengbu Medical College, Bengbu Anhui 233004, China
Abstract:Objective:To evaluate the clinical therapeutic effect of noninvasive positive-pressure ventilation(NIPPV) in treating chronic obstructive pulmonary disease(COPD) with respiratory failure.Methods:Of 56 COPD patients with respiratory failure were randomly divided into treatment group and control group.The control group was routinely treated with anti-infection,relieving cough and reducing sputum,relieving asthma,and continuous low-flow oxygen therapy.Based on the conventional therapy,the treatment group was a...
Keywords:pulmonary disease  obstructive  respiratory failure  noninvasive positive-pressure ventilation  
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