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目的探讨提高慢性阻塞性肺疾病 (COPD)者呼吸功能的治疗方法。方法 5例 PaCO260~ 70mmHg者间断无创通气治疗, 1.5 h/次, 2~ 3次 /d。 4例 PaCO250~ 60 mmHg者接受间断深呼吸和呼吸方式训练,首先纠正胸腹矛盾运动,每次深呼吸 10~ 20次 ,3~ 5次 /d。结果两组治疗后血气指标达到或接近正常。活动能力明显增加,无创通气组平均住院日为治疗前的 18.64%,平均住院费为治疗前的 12.72%。结论间断无创通气和深呼吸法均为较好的提高 COPD患者呼吸功能的方法。
Objective To investigate the treatment of respiratory function in patients with chronic obstructive pulmonary disease (COPD). Methods 5 cases of PaCO260 ~ 70mmHg intermittent non-invasive ventilation treatment, 1.5 h / time, 2 to 3 times / d. 4 cases of PaCO250 ~ 60 mmHg who received intermittent deep breathing and breathing training, first correct contradiction between chest and abdomen movement, each take a deep breath 10 to 20 times, 3 to 5 times / d. Results After treatment, blood gas index reached or close to normal in both groups. Activity capacity increased significantly, the average length of stay of non-invasive ventilation group was 18.64% before treatment, the average hospitalization fee was 12.72% before treatment. Conclusion Intermittent non-invasive ventilation and deep breathing are better ways to improve respiratory function in patients with COPD.