ICU病房应用无创呼吸机治疗老年COPD并Ⅱ型呼吸衰竭的临床疗效研究(1)
摘 要：目的 探討使用无创呼吸机治疗ICU病房中的老年慢性阻塞性肺病(COPD)患者合并Ⅱ型呼吸衰竭时的临床疗效和安全性，评价其改善患者肺功能的作用。方法 选取我院2013年10月～2016年10月在ICU病房接受治疗的老年COPD合并Ⅱ型呼吸衰竭患者100例为研究对象，随机分为对照组50例和观察组50例。对照组患者采用传统药物治疗，观察组患者在传统药物治疗的同时应用无创呼吸机治疗，比较其临床疗效和安全性。结果 治疗后观察组总有效率优于对照组，差异具有统计学意义(P<0.05)。治疗前，两组患者PaO2、PaCO2、pH值及SaO2%比较无明显差异(P>0.05)，治疗后两组患者的血气指标较前均有所改善，且观察组血气改善程度明显高于对照组，差异具有统计学意义(P<0.05)。结论 使用无创呼吸机治疗ICU病房老年慢性阻塞性肺病并Ⅱ型呼吸衰竭，能够有效改善患者的呼吸状况和肺功能，临床效果确切，可以全面推广应用。
关键词：ICU病房；无创呼吸机；慢性阻塞性肺病；Ⅱ型呼吸衰竭；肺功能
, 百拇医药
中图分类号：R563.8；R563.9 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.01.039
文章编号：1006-1959(2018)01-0106-02
Clinical Study of Noninvasive Ventilator in Elderly Patients with COPD and Type Ⅱ Respiratory Failure in ICU Ward
LI Tun，XU Wei，LI Qiang
(Severe Medical Science，The First People's Hospital of Shuangliu District，Chengdu 610200，Sichuan，China)
, 百拇医药
Abstract：Objective To investigate the clinical efficacy and safety of noninvasive ventilator in the treatment of elderly patients with chronic obstructive pulmonary disease(COPD)in intensive care unit(ICU)ward with type Ⅱ respiratory failure and to evaluate its effect on improving lung function.Methods A total of 100 elderly COPD patients with type Ⅱ respiratory failure who were treated in ICU ward from October 2013 to October 2016 in our hospital were randomly divided into control group(n=50)and observation group(n=50).The patients in the control group were treated with traditional medicine.The patients in the observation group were treated with noninvasive ventilator while the traditional medicine was treated.The clinical efficacy and safety were compared.Results The total effective rate of the observation group after treatment was better than that of the control group， the difference was statistically significant (P<0.05).Before treatment， PaO2， PaCO2， pH value and SaO2% of two groups had no significant difference (P>0.05).After treatment， the blood gas indexes of the two groups improved compared with the former， and the improvement of blood gas in the observation group was obviously higher than that in the control group， the difference was statistically significant (P<0.05).Conclusion Noninvasive ventilator for the treatment of chronic obstructive pulmonary disease(COPD)and type Ⅱ respiratory failure in ICU ward can effectively improve the respiratory status and pulmonary function of patients.The clinical effect is exact and can be widely applied.
Key words：ICU ward；Noninvasive ventilator；Chronic obstructive pulmonary disease；Type Ⅱ respiratory failure；Pulmonary function, http://www.100md.com(李暾 徐伟 李强)
关键词：ICU病房；无创呼吸机；慢性阻塞性肺病；Ⅱ型呼吸衰竭；肺功能
, 百拇医药
中图分类号：R563.8；R563.9 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.01.039
文章编号：1006-1959(2018)01-0106-02
Clinical Study of Noninvasive Ventilator in Elderly Patients with COPD and Type Ⅱ Respiratory Failure in ICU Ward
LI Tun，XU Wei，LI Qiang
(Severe Medical Science，The First People's Hospital of Shuangliu District，Chengdu 610200，Sichuan，China)
, 百拇医药
Abstract：Objective To investigate the clinical efficacy and safety of noninvasive ventilator in the treatment of elderly patients with chronic obstructive pulmonary disease(COPD)in intensive care unit(ICU)ward with type Ⅱ respiratory failure and to evaluate its effect on improving lung function.Methods A total of 100 elderly COPD patients with type Ⅱ respiratory failure who were treated in ICU ward from October 2013 to October 2016 in our hospital were randomly divided into control group(n=50)and observation group(n=50).The patients in the control group were treated with traditional medicine.The patients in the observation group were treated with noninvasive ventilator while the traditional medicine was treated.The clinical efficacy and safety were compared.Results The total effective rate of the observation group after treatment was better than that of the control group， the difference was statistically significant (P<0.05).Before treatment， PaO2， PaCO2， pH value and SaO2% of two groups had no significant difference (P>0.05).After treatment， the blood gas indexes of the two groups improved compared with the former， and the improvement of blood gas in the observation group was obviously higher than that in the control group， the difference was statistically significant (P<0.05).Conclusion Noninvasive ventilator for the treatment of chronic obstructive pulmonary disease(COPD)and type Ⅱ respiratory failure in ICU ward can effectively improve the respiratory status and pulmonary function of patients.The clinical effect is exact and can be widely applied.
Key words：ICU ward；Noninvasive ventilator；Chronic obstructive pulmonary disease；Type Ⅱ respiratory failure；Pulmonary function, http://www.100md.com(李暾 徐伟 李强)