急诊应用双水平气道正压(BiPAP)通气治疗慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭的临床价值(1)
[摘要] 目的 分析慢性阻塞性肺疾病合并II型呼吸衰竭患者接受急診治疗时采用双水平正压通气的临床应用价值。方法 此次方便选择2016年1月—2019年7月该院收治慢性阻塞性肺疾病合并II型呼吸衰竭患者98例作为观察对象，根据入院时间先后顺序分为观察组与对照组，对照组单纯采取常规治疗，观察组在其基础上采用双水平正压通气治疗，比较两组患者治疗效果，检测并分析各组患者治疗前后血气相关指标差异，计算各组发生不良事件的概率。结果 观察组患者治疗总效果明显优于对照组(P<0.05)。两组患者未接受治疗前，血气相关指标差异无统计学意义(P>0.05)，经急诊治疗后，观察组患者血氧分压(82.56±7.59)mmHg、二氧化碳分压(45.99±4.21)mmHg、pH值(7.52±0.03)均明显优于对照组(t=9.480、8.590、6.580，P<0.05)。观察组患者出现不良事件的概率相对更低。结论 慢性阻塞性肺疾病合并II型呼吸衰竭患者采取双水平气道正压通气治疗效果明显，可改善患者血气指标，值得推广应用。
[关键词] 急诊;双水平气道正压通气;慢性阻塞性肺疾病;II型呼吸衰竭
[中图分类号] R563 [文献标识码] A [文章编号] 1674-0742(2020)04(a)-0079-03
[Abstract] Objective To analyze the clinical application value of double-level positive pressure ventilation in patients with chronic obstructive pulmonary disease complicated with type II respiratory failure receiving emergency treatment. Methods The choice in January 2016 - July 2019， the hospital patients with chronic obstructive pulmonary disease with type II respiratory failure， 98 cases were convenient selected as research object， according to admission time sequence is divided into observation group and control group， control group simply adopt regular treatment， observation group based on the double level positive pressure ventilation therapy， compared two groups of patients with therapeutic effect， detection and analysis of differences between groups before and after treatment in patients with blood gas relevant indicators， calculated each group the probability of occurrence of adverse events. Results The total therapeutic effect of the observation group was significantly better than that of the control group (P<0.05). Before treatment， there was no significant difference in blood gas related indexes between the two groups. After emergency treatment， systolic blood pressure (82.56±7.59) mmHg， diastolic blood pressure (45.99±4.21) mmHg and pH values (7.52±0.03) of the observation group were significantly better than those of the control group (t=9.480， 8.590， 6.580， P<0.05). The incidence of adverse events in the observation group was relatively low. Conclusion Patients with chronic obstructive pulmonary disease complicated with type II respiratory failure treated with bi-level positive airway pressure ventilation have obvious curative effect， which can improve the blood gas index of patients， and it is worth popularizing and applying.
[Key words] Emergency; Bi-level positive airway pressure ventilation; Chronic obstructive pulmonary disease; Type II respiratory failure, http://www.100md.com(杨健民 钱梁)
[关键词] 急诊;双水平气道正压通气;慢性阻塞性肺疾病;II型呼吸衰竭
[中图分类号] R563 [文献标识码] A [文章编号] 1674-0742(2020)04(a)-0079-03
[Abstract] Objective To analyze the clinical application value of double-level positive pressure ventilation in patients with chronic obstructive pulmonary disease complicated with type II respiratory failure receiving emergency treatment. Methods The choice in January 2016 - July 2019， the hospital patients with chronic obstructive pulmonary disease with type II respiratory failure， 98 cases were convenient selected as research object， according to admission time sequence is divided into observation group and control group， control group simply adopt regular treatment， observation group based on the double level positive pressure ventilation therapy， compared two groups of patients with therapeutic effect， detection and analysis of differences between groups before and after treatment in patients with blood gas relevant indicators， calculated each group the probability of occurrence of adverse events. Results The total therapeutic effect of the observation group was significantly better than that of the control group (P<0.05). Before treatment， there was no significant difference in blood gas related indexes between the two groups. After emergency treatment， systolic blood pressure (82.56±7.59) mmHg， diastolic blood pressure (45.99±4.21) mmHg and pH values (7.52±0.03) of the observation group were significantly better than those of the control group (t=9.480， 8.590， 6.580， P<0.05). The incidence of adverse events in the observation group was relatively low. Conclusion Patients with chronic obstructive pulmonary disease complicated with type II respiratory failure treated with bi-level positive airway pressure ventilation have obvious curative effect， which can improve the blood gas index of patients， and it is worth popularizing and applying.
[Key words] Emergency; Bi-level positive airway pressure ventilation; Chronic obstructive pulmonary disease; Type II respiratory failure, http://www.100md.com(杨健民 钱梁)
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