无创正压通气疗法治疗老年慢性阻塞性肺疾病合并呼吸衰竭患者的疗效分析
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中外医疗 2019 NO.22 China &Foreign Medical Treatment
DOI院10.16662/ki.1674-0742.2019.22.032
无创正压通气疗法治疗老年慢性阻塞性肺疾病合并 呼吸衰竭患者的疗效分析
刘金丽袁杨立春袁尚晓霞袁李佳袁唐颖袁王春波 黑龙江省大庆市龙南医院袁黑龙江大庆 163458
LIU Jin-li, Y A NG Li-chun, SHA NG Xiao-xia, LI Jia, TA NG Y ing, WA NG Chun-bo Longnan Hospital, Daqing, Heilongjiang Province, 163458 China [Abstract] Objective To analyze the therapeutic effect of noninvasive positive pressure ventilation in elderly patients with chronic obstructive pulmonary disease and respiratory failure. Methods 76 patients with chronic obstructive pulmonary dis鄄 ease and respiratory failure were conveniently selected in our hospital from June 2017 to June 2018. They were divided into control group and observation group according to the ball-fitting method, 38 cases each. The control group was treated with conventional methods. The observation group was treated with non-invasive positive pressure ventilation on the basis of the treatment of the control group. The effects of the two groups after treatment were observed. The changes of blood gas analy鄄 sis index and the changes of lung function indexes before and after treatment were observed. Results After treatment, the total effective rate of the control group was 76.32%, and the total effective rate of the observation group was 94.74%. The total effective rate of the observation group was higher than that of the control group (字2=5.21), the difference was statistical鄄 ly significant 渊P约0.05冤. There were no significant differences in blood gas analysis index and lung function index between the two groups before treatment渊P>0.05冤. After treatment, the observed partial pressure of carbon dioxide (PaCO2) was lower than that of the control group (t=14.89), and arterial oxygen saturation (SpO2) and arterial partial pressure of oxygen (PaO2) were higher than those of the control group (t=11.94,4.19), and the improvement of lung function index in the observation group was better than that of the control group (t=6.38, 6.41), the difference was statistically significant渊P约0.05冤. Conclu鄄 sion The non-invasive positive pressure ventilation therapy for elderly patients with chronic obstructive pulmonary disease and respiratory failure is effective, which can effectively improve the blood gas analysis index and lung function index of patients, which is worthy of promotion. [Key words] Non-invasive positive pressure ventilation therapy; Elderly patients with chronic obstructive pulmonary dis鄄 ease with respiratory failure; Efficacy
[摘要] 目的 分析在老年慢性阻塞性肺疾病合并呼吸衰竭患者中使用无创正压通气疗法的治疗效果遥 方法 在该院
2017 年 6 月要2018 年 6 月治疗老年慢性阻塞性肺疾病合并呼吸衰竭患者中方便来自取出 76 例袁并严格按照摸球法分
为对照组和观察组袁各 38 例遥 对照组采用常规方法进行治疗袁观察组在对照组治疗基础上加用无创正压通气疗法袁对
两组治疗后效果进行观察袁治疗前后血气分析指标变化及肺功能指标变化情况遥 结果 治疗后袁对照组总有效率为
76.32%袁观察组总有效率为 94.74%袁观察组总有效率高于对照组渊字2=5.21冤袁差异有统计学意义渊P约0.05冤遥 治疗前两组
患者血气分析指标尧肺功能指标均差异无统计学意义渊P>0.05冤袁经治疗后袁观察组二氧化碳分压(PaCO2)低于对照组
[关键词] 无创正压通气疗法曰老年慢性阻塞性肺疾病合并呼吸衰竭曰疗效
[中图分类号] R563.9
[文献标识码] A
[文章编号] 1674-074圆渊圆园员9冤08渊a冤原园032-03
Therapeutic Effect of Noninvasive Positive Pressure Ventilation on Elderly Patients with Chronic Obstructive Pulmonary Disease Complicated with Respiratory Failure
渊t=14.89冤袁而动脉血氧饱和度(SpO2)尧动脉血氧分压(PaO2)则高于对照组渊t=11.94尧4.19冤袁并且观察组肺功能指标改善情 况均优于对照组渊t=6.38尧6.41冤袁差异有统计学意义渊P约0.05冤遥 结论 予以老年慢性阻塞性肺疾病合并呼吸衰竭患者
无创正压通气疗法效果显著袁可有效改善患者血气分析指标和肺功能指标袁值得推广遥
DOI院10.16662/ki.1674-0742.2019.22.032
无创正压通气疗法治疗老年慢性阻塞性肺疾病合并 呼吸衰竭患者的疗效分析
刘金丽袁杨立春袁尚晓霞袁李佳袁唐颖袁王春波 黑龙江省大庆市龙南医院袁黑龙江大庆 163458
LIU Jin-li, Y A NG Li-chun, SHA NG Xiao-xia, LI Jia, TA NG Y ing, WA NG Chun-bo Longnan Hospital, Daqing, Heilongjiang Province, 163458 China [Abstract] Objective To analyze the therapeutic effect of noninvasive positive pressure ventilation in elderly patients with chronic obstructive pulmonary disease and respiratory failure. Methods 76 patients with chronic obstructive pulmonary dis鄄 ease and respiratory failure were conveniently selected in our hospital from June 2017 to June 2018. They were divided into control group and observation group according to the ball-fitting method, 38 cases each. The control group was treated with conventional methods. The observation group was treated with non-invasive positive pressure ventilation on the basis of the treatment of the control group. The effects of the two groups after treatment were observed. The changes of blood gas analy鄄 sis index and the changes of lung function indexes before and after treatment were observed. Results After treatment, the total effective rate of the control group was 76.32%, and the total effective rate of the observation group was 94.74%. The total effective rate of the observation group was higher than that of the control group (字2=5.21), the difference was statistical鄄 ly significant 渊P约0.05冤. There were no significant differences in blood gas analysis index and lung function index between the two groups before treatment渊P>0.05冤. After treatment, the observed partial pressure of carbon dioxide (PaCO2) was lower than that of the control group (t=14.89), and arterial oxygen saturation (SpO2) and arterial partial pressure of oxygen (PaO2) were higher than those of the control group (t=11.94,4.19), and the improvement of lung function index in the observation group was better than that of the control group (t=6.38, 6.41), the difference was statistically significant渊P约0.05冤. Conclu鄄 sion The non-invasive positive pressure ventilation therapy for elderly patients with chronic obstructive pulmonary disease and respiratory failure is effective, which can effectively improve the blood gas analysis index and lung function index of patients, which is worthy of promotion. [Key words] Non-invasive positive pressure ventilation therapy; Elderly patients with chronic obstructive pulmonary dis鄄 ease with respiratory failure; Efficacy
[摘要] 目的 分析在老年慢性阻塞性肺疾病合并呼吸衰竭患者中使用无创正压通气疗法的治疗效果遥 方法 在该院
2017 年 6 月要2018 年 6 月治疗老年慢性阻塞性肺疾病合并呼吸衰竭患者中方便来自取出 76 例袁并严格按照摸球法分
为对照组和观察组袁各 38 例遥 对照组采用常规方法进行治疗袁观察组在对照组治疗基础上加用无创正压通气疗法袁对
两组治疗后效果进行观察袁治疗前后血气分析指标变化及肺功能指标变化情况遥 结果 治疗后袁对照组总有效率为
76.32%袁观察组总有效率为 94.74%袁观察组总有效率高于对照组渊字2=5.21冤袁差异有统计学意义渊P约0.05冤遥 治疗前两组
患者血气分析指标尧肺功能指标均差异无统计学意义渊P>0.05冤袁经治疗后袁观察组二氧化碳分压(PaCO2)低于对照组
[关键词] 无创正压通气疗法曰老年慢性阻塞性肺疾病合并呼吸衰竭曰疗效
[中图分类号] R563.9
[文献标识码] A
[文章编号] 1674-074圆渊圆园员9冤08渊a冤原园032-03
Therapeutic Effect of Noninvasive Positive Pressure Ventilation on Elderly Patients with Chronic Obstructive Pulmonary Disease Complicated with Respiratory Failure
渊t=14.89冤袁而动脉血氧饱和度(SpO2)尧动脉血氧分压(PaO2)则高于对照组渊t=11.94尧4.19冤袁并且观察组肺功能指标改善情 况均优于对照组渊t=6.38尧6.41冤袁差异有统计学意义渊P约0.05冤遥 结论 予以老年慢性阻塞性肺疾病合并呼吸衰竭患者
无创正压通气疗法效果显著袁可有效改善患者血气分析指标和肺功能指标袁值得推广遥
