Noninvasive ventilator in the old AECOPD combination of respiratory failure the clinical value

Objective To investigate noninvasive ventilator in the old of senile chronic obstructive pulmonary disease acute exacerbation(AECOPD) combination of respiratory failure the effect and clinical value,provide the reference for clinical treatment AECOPD.Methods The clinical data from January 2010-August 2012 hospitalized during the 48 cases AECOPD combination of respiratory failure in the conventional treatment on the basis of noninvasive positive pressure ventilation(NPPV) treatment,observed before and after treatment with oxygen partial pressure(PaO2),carbon dioxide partial pressure(PaCO2),PH value,heart rate(HR),respiratory frequency(R) change,patients apnea low ventilation index(AHI),micro awakening time(MAI),blood oxygen saturation is lower than 90% of the time have to total sleep time percentage(Ts90%),patients to have and air passengers and ill situation.Results 48 cases were 4 cases because of illness in the noninvasive positive pressure ventilation midway to have and ventilation,1 case death,and mortality was 2.09%,44 patients NPPV treatment,finally cured and discharged, treatment effectiveness 91.67%;NPPV treatment used in patients with non-invasive breath machine machine treatment within 24h,72h monitoring of the HR,R,pH,PaO2,PaCO2 than before treatment significantly improved,and before treatment comparative differences exist statistical significance(P0.05),there are 7 cases with sleep apnea syndromes(SAHS),a rate of 15.91%,MAI,AHI,Ts90 % in the treatment of within 24h,72h a before treatment significantly improved,and before treatment comparative differences exist statistical significance(P0.05).Conclusion AECOPD combination of respiratory failure were treated by noninvasive ventilator positive pressure ventilation treatment can significantly improve patients with ventilation,ventilation function and a sleep-related breathing disorder,curative effect affirmation.