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目的:探讨无创正压通气治疗慢性阻塞性肺病合并呼吸衰竭的临床疗效。方法:选取我院自2010年1月至2014年1月收治的142例慢性阻塞性肺病合并呼吸衰竭患者进行分析研究,随机分为2组,每组71例,对照组患者采用常规药物治疗,观察组患者在药物治疗的基础上采用无创正压通气进行治疗。观察两组患者治疗效果。结果:观察组患者治疗后氧合指数(PaO2)、动脉二氧化碳分压(PaCO2)、PH值、心率、呼吸各项指标改善情况都明显优于对照组患者治疗后,P<0.05,具有统计学意义。结论:采用无创正压通气疗法治疗慢性阻塞性肺疾病合并呼吸衰竭,能有效改善患者临床症状,减轻患者痛苦,提高治疗效果,并能有效防止并发症产生,临床应用效果明显,值得推广应用。
Objective: To investigate the clinical efficacy of noninvasive positive pressure ventilation in treatment of chronic obstructive pulmonary disease (COPD) complicated with respiratory failure. Methods: A total of 142 patients with chronic obstructive pulmonary disease and respiratory failure who were admitted to our hospital from January 2010 to January 2014 were randomly divided into 2 groups (n = 71 in each group). The patients in the control group were treated with conventional drugs, Patients in the observation group were treated with noninvasive positive pressure ventilation on the basis of medication. Observation of two groups of patients treatment effect. Results: After treatment, PaO2, PaCO2, PH value, heart rate and respiration indexes in observation group were significantly better than those in control group after treatment, P <0.05, with statistical significance significance. Conclusion: Noninvasive positive pressure ventilation therapy for chronic obstructive pulmonary disease combined with respiratory failure can effectively improve the clinical symptoms, reduce the patient’s pain and improve the treatment effect, and can effectively prevent the complications, the clinical application of significant results, it is worth promoting the application.