|本期目录/Table of Contents|

[1]李志杰.无创正压通气治疗慢性阻塞性肺疾病急性发作的临床价值[J].慢性病学杂志,2014,(03):181-183.
　LI Zhi-jie.Clinical value of noninvasive positive pressure ventilation in the treatment of COPD acute attack[J].,2014,(03):181-183.
点击复制

无创正压通气治疗慢性阻塞性肺疾病急性发作的临床价值(PDF)

《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:
期数:
2014年03期
页码:
181-183
栏目:
论著
出版日期:
2014-06-22

文章信息/Info

Title:
Clinical value of noninvasive positive pressure ventilation in the treatment of COPD acute attack
作者:
李志杰
商丘市第一人民医院，河南商丘476000
Author(s):
LI Zhi-jie
ShangqiuFirstPeople's Hospital，Shangqiu,Henan476000,China Correspondingauthor: LIZhi-jie，E-mail:lizhijie752004@126.com
关键词:
慢性阻塞性肺疾病; 急性发作; 无创正压通气
Keywords:
Chronic obstructive pulmonary disease;  Acute exacerbation;  Aoninvasive positive pressure ventila-tion
分类号:
R563
DOI:
-
摘要:
目的 探讨无创正压通气治疗慢性阻塞性肺病（COPD）急性发作的临床价值。方法 选取COPD 急性发作患者120例，随机分为观察组、对照组，每组60例。观察组在常规治疗基础上行无创正压通气治 疗，对照组在常规治疗基础上给予持续低流量吸氧治疗。比较两组治疗前、后动脉血气pH值、PaO2、 PaCO2水平；对比两组住院时间、费用，以及气管插管及死亡情况。结果 两组pH、PaO2、PaCO2值均较 治疗前有所改善，且观察组改善情况优于对照组，差异有统计学意义（P均<0.05）。观察组住院时间和费 用均低于对照组，差异有统计学意义（P均<0.05）。观察组实施气管插管9例（15.0%），死亡2例 （3.3%）；对照组分别为29例（48.3%）、8例（13.3%）；两组比较，差异有统计学意义（P均<0.05）。结 论 无创正压通气治疗COPD急性发作的临床效果显著。
Abstract:
Abstract: treatment of chronic obstructive pulmonary disease (COPD) acute attack. Methods 120 patients with COPD acute attack were randomly divided into observation group and control group,60 cases in each group. The patients in observation group were treated with noninvasive positive pressure ventilation based on conventional treatment, the cases in control group were treated with continuous low flow oxy-gen on the basis of conventional treatment. To observe the clinical effects of two groups. Results Af-ter treatment, the value of pH、PaO2、PaCO2 in two groups were improved compared with pre-treat-ment, and the improved effect in observation group were better than those in control group, allP< 0.05. The hospital stay time and hospitalization expenses in observation group were lower than those in control group (both P<0.05). The observation group received tracheal intubation rate was 15% (9/60), mortality was3.3% (2/60), those in control group were 48.3% (29/60) and 13.3% (8/60) respectively, both P<0.05. Conclusions Noninvasive positive pressure ventilation in the treatment of COPD acute at-tack was effective.

参考文献/References:

[1] 陈艳辉.无创正压通气治疗慢阻肺急性发作效果分析［J］．中 外医疗,2012,08(21):41-42.
[2］ 侯小华.NIPPV治疗AECOPD呼吸衰竭并意识障碍的临床研 究［Ｄ］．天津：天津医科大学,2012:105-109.
[3］ 康征.无创正压通气治疗COPD急性发作合并Ⅱ型呼吸衰竭临 床研究［J］．吉林医学,2012,33(21):4531.
[4］ 唐昕.无创正压通气治疗慢性阻塞性肺疾病急性发作期合并Ⅱ 型呼吸衰竭临床观察［J］．中国社区医师：医学专业，2012, 14(21):56.
[5］ 干泳华.无创正压通气治疗老年慢性阻塞性肺疾病合并重症呼 吸衰竭的临床疗效观察［J］．中外医疗,2013,10(21):96-97.
[6］ 劳可明.无创正压通气治疗慢阻肺并呼吸衰竭临床观察［J］． 医学理论与实践,2013,26(6):713-714.

备注/Memo

备注/Memo:
作者简介：李志杰，硕士，主治医师，主要从事呼吸及危重症医学临床工作 通信作者：李志杰，E-mail: lizhijie752004@126.com
更新日期/Last Update: 2014-03-30