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BiPAP通气联合可拉明治疗COPD并肺性脑病的临床研究
引用本文:刘先军,涂明利,刘为舜,雷怀定,罗国仕,刘玉全. BiPAP通气联合可拉明治疗COPD并肺性脑病的临床研究[J]. 内科急危重症杂志, 2004, 10(4): 189-191
作者姓名:刘先军  涂明利  刘为舜  雷怀定  罗国仕  刘玉全
作者单位:湖北郧阳医学院附属太和医院,十堰,442000;湖北郧阳医学院附属太和医院,十堰,442000;湖北郧阳医学院附属太和医院,十堰,442000;湖北郧阳医学院附属太和医院,十堰,442000;湖北郧阳医学院附属太和医院,十堰,442000;湖北郧阳医学院附属太和医院,十堰,442000
摘    要:目的 :研究慢性阻塞性肺病 (COPD)患者合并肺性脑病时进行无创双水平正压 (BiPAP)通气联合可拉明治疗的效果。方法 :4 0例COPD合并肺性脑病患者分为BiPAP组和BiPAP联用可拉明组 ,观察两组的治疗效果。结果 :两组患者治疗效果存在显著差异 ,与BiPAP组比较 ,联用组意识障碍恢复快 ,治愈率高。结论 :对于COPD合并自主呼吸较稳定的肺性脑病患者 ,BiPAP通气联用可拉明是一种有效的治疗方法。

关 键 词:双水平正压通气  可拉明  慢性阻塞性肺病  肺性脑病
修稿时间:2004-06-18

Effect of Noninvasive Bi-level Positive Airway Pressure Ventilation Combined With Coramine in Treatment of COPD With Pulmonary Encephalopathy
LIU Xianjun,TU Mingli,LIU Weishun,et al.. Effect of Noninvasive Bi-level Positive Airway Pressure Ventilation Combined With Coramine in Treatment of COPD With Pulmonary Encephalopathy[J]. Journal of Internal Intensive Medicine, 2004, 10(4): 189-191
Authors:LIU Xianjun  TU Mingli  LIU Weishun  et al.
Affiliation:LIU Xianjun,TU Mingli,LIU Weishun,et al. Yunyang Medical College Affiliated Taihe Hospital,Shiyan 442000,China
Abstract:Objective:To study the effect of noninvasive bi-level positive airway pressure (BiPAP) ventilation combined with coramine in treatment of patients with chronic obstructive pulmonary disease (COPD) complicated with pulmonary encephalopathy. Methods :Fourty patients with COPD complicated with pulmonary encephalopathy were divided into BiPAP group and BiPAP combined with coramine group. The effects of treatments were investigated. Results:Significant difference was found in the cure rate of these 2 groups. Compared with BiPAP group, patients in combination treatment group showed more rapid restoration to consciousness and with higher cure rate. Conclusion:In COPD patients complicated with pulmonary encephalopathy who have stable autonomous respiration, BiPAP combined with coramine is an effective therapeutic measure.
Keywords:Bi-level positive airway pressure ventilation Coramine Chronic obstructive pulmonary disease Pulmonary encephalopathy
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