无创呼吸机治疗慢性阻塞性肺疾病合并呼吸衰竭32例疗效分析

孙双智

（陕西省榆林市定边县人民医院急诊科，陕西 榆林，718600）

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摘要：

目的 探讨慢性阻塞性肺疾病合并呼吸衰竭治疗中无创呼吸机的应用效果。方法 选取我院收治的慢性阻塞性肺疾病 合并呼吸衰竭症患者64例为研究对象，随机分为对照组和观察组，各32例。对照组患者采用常规治疗，观察组患者在对照组基础上增加无创呼吸机进行治疗。比较两组患者的临床治疗效果及血气指标水平。结果 观察组治疗总有效率为93.75%，对照组为75.00%，观察组治疗总有效率高于对照组，差异具有统计学意义（P<0.05）；治疗后，两组患者的PaCO₂、PaO₂ 水平明显优于治疗前，且观察组PaCO₂、PaO₂ 水平明显优于对照组（P<0.05）。结论 对慢性阻塞性肺疾病合并呼吸衰竭症患者应用无创呼吸机治疗，有助于患者临床症状的改善及临床治疗效果的提升，能有效改善患者的血气指标，值得临床推广应用。

关键词：无创呼吸机；慢性阻塞性肺疾病；呼吸衰竭；血气分析

中图分类号：R563.9文献标志码：A文章编号：2096-1413(2017)16-0068-02

Clinical effect of noninvasive ventilator in 32 chronic obstructive pulmonary disease complicated with respiratory failure patients
SUN Shuang-zhi
(Department of Emergency, People`s Hospital of Dingbian County, Yulin 718600, China)

ABSTRACT: Objective To study the clinical effect of noninvasiv e ventilator in the treatment of chronic obstructive pulmonary disease with respiratory failure. Methods Sixty four patients with chronic obstructive pulmonary disease complicated with respiratory failure treated in our hospital were selected and randomly divided into control group and observation group, with 32 cases in each group. The control group was treated with routine therapy, and the observation group was treated with noninvasive ventilator treatment on the basis of the routine therapy. The clinical effects and blood gas indexes were compared between the two groups. Results The total effective rate of the observation group was 93.75%, which was higher than 75.00% of the control group, the difference was statistically significant (P<0.05). After treatment, the levels of PaCO₂、PaO₂ of the two groups were better than those before treatment, and those of the observation group were better than the control group (P<0.05). Conclusion Noninvasive ventilator in the treatment of chronic obstructive pulmonary disease with respiratory failure can improve clinical symptoms and clinical effect, and make the blood gas index improved, which is worthy of application and popularization in clinic.
KEYWORDS: noninvasive ventilator; chronic obstructive pulmonary disease; respiratory failure; blood gas analysis

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