2006•Chinese Journal of AsthmaRequires access

Clinical value of noninvasive positive pressure ventilation in COPD patients with respiratory failure due to exacerbations of chronic obstructive pulmonary disease

周维华, 邵伯云, 吴震

Abstract

目的评价无创正压通气(NIPPV)对慢性阻塞性肺疾病(COPD)急性加重期并发呼吸衰竭的治疗价值.方法选择接受NIPPV的COPD患者28例,以同期同样标准COPD患者32例作为对照组(常规治疗组),动态观察两组患者通气、氧合、心率、呼吸频率等改善情况.结果 NIPPV治疗组同期血气、心率、呼吸频率等较对照组明显改善(P均＜0.05).NIPPV治疗组插管率、病死率、住院时间较常规治疗组(对照组)均明显降低(P＜0.05),临床有效率较对照组明显升高(P＜0.05).结论 NIPPV治疗COPD急性加重期伴呼吸衰竭疗效确切、安全,减轻症状,减少气管插管率,促进患者康复。

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Key concepts: Medicine, Pulmonary disease, COPD, Positive pressure ventilation, Respiratory failure, Intensive care medicine, Respiratory system, Ventilation (architecture)