鼻罩和面罩连接无创通气在抢救Ⅱ型呼吸衰竭时的疗效对比(1)
【摘要】 目的：比较鼻罩和面罩连接双水平气道正压力通气(BiPAP)在抢救Ⅱ型呼吸衰竭患者时的疗效，探索更好的无创通气连接模式。方法：选取2013年9月-2014年11月本院收治的80例AECOPD合并Ⅱ型呼吸衰竭患者作为研究对象，采用随机数字表法分为两组，观察组采用鼻罩连接无创通气，对照组采用面罩连接无创通气，两组患者均给予抗感染、祛痰、止咳、解痉、平喘、呼吸兴奋剂等治疗并在此基础上行BiPAP通气，观察比较通气前后两组生命体征、血气指标、依从率、成功率、插管率、住院天数及病死率。结果：两组通气后生命体征及血气指标均优于通气前；通气3 h后，对照组呼吸频率(R)、血氧饱和度(SpO2)及各项血气指标均优于观察组，观察组依从率及成功率均高于对照组，以上比较差异均有统计学意义(P<0.05)。两组插管率、住院时间及病死率比较差异均无统计学意义(P>0.05)。结论：鼻罩和面罩连接BiPAP通气对AECOPD合并Ⅱ型呼吸衰竭的患者均有显著效果，面罩连接比鼻罩连接更快改善R、SpO2及血气状况，但通气12 h后两种连接方式产生的效无明显差异，鼻罩连接的舒适性、依从性及成功率更好，更易于临床推广。
, 百拇医药
【关键词】 无创正压通气； 鼻罩连接； 面罩连接； 慢性阻塞性肺疾病； 呼吸衰竭
【Abstract】 Objective：To compare the effect of nasal mask and mask connected noninvasive ventilation with bi-level positive airway pressure(BiPAP) in the rescue of type Ⅱ respiratory failure and to explore the better noninvasive ventilation connection mode.Method：80 patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD) combined with type II respiratory failure in our hospital from September 2013 to November 2014 were selected and randomly divided into two groups.All patients were given the basic treatment of anti infection，eliminating phlegm，relieving cough，spasmolysis，relieving asthma and respiratory stimulant.The two groups were given noninvasive ventilation with BiPAP on the basis of the basic treatment.The observation group was given nasal mask connection noninvasive ventilation and the control group was given mask connection noninvasive ventilation.The vital signs，indexes of blood gas，compliance rate，success rate， intubation rate，days of hospitalization and mortality rate of the two groups were observed and compared.Result：After ventilation，the vital signs and indexes of blood gas of the two groups were better than before ventilation.3 hours after the ventilation，the respiratory rate(R)，oxygen saturation(SpO2) and indexes of blood gas in the control group were better than those in the observation group.The compliance rate and success rate of the observation group were higher than those of the control group.The differences above were all statistically significant(P<0.05).The differences in the intubation rate，days of hospitalization and mortality rate of the two groups were not statistically significant(P>0.05).Conclusion：The effect of nasal mask and mask connection noninvasive ventilation with BiPAP in the treatment of AECOPD complicated with type Ⅱ respiratory failure is significant.The improvement of R，SpO2 and indexes of blood gas in patients with mask connection is faster than that in patients with nasal mask connection.But there is no significant difference in terms of the effect between the two connection methods after 12 hours of ventilation.Nasal mask connection is better in comfortability，compliance and the success rate，it is easier for clinical application., 百拇医药(吕华亮等)
, 百拇医药
【关键词】 无创正压通气； 鼻罩连接； 面罩连接； 慢性阻塞性肺疾病； 呼吸衰竭
【Abstract】 Objective：To compare the effect of nasal mask and mask connected noninvasive ventilation with bi-level positive airway pressure(BiPAP) in the rescue of type Ⅱ respiratory failure and to explore the better noninvasive ventilation connection mode.Method：80 patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD) combined with type II respiratory failure in our hospital from September 2013 to November 2014 were selected and randomly divided into two groups.All patients were given the basic treatment of anti infection，eliminating phlegm，relieving cough，spasmolysis，relieving asthma and respiratory stimulant.The two groups were given noninvasive ventilation with BiPAP on the basis of the basic treatment.The observation group was given nasal mask connection noninvasive ventilation and the control group was given mask connection noninvasive ventilation.The vital signs，indexes of blood gas，compliance rate，success rate， intubation rate，days of hospitalization and mortality rate of the two groups were observed and compared.Result：After ventilation，the vital signs and indexes of blood gas of the two groups were better than before ventilation.3 hours after the ventilation，the respiratory rate(R)，oxygen saturation(SpO2) and indexes of blood gas in the control group were better than those in the observation group.The compliance rate and success rate of the observation group were higher than those of the control group.The differences above were all statistically significant(P<0.05).The differences in the intubation rate，days of hospitalization and mortality rate of the two groups were not statistically significant(P>0.05).Conclusion：The effect of nasal mask and mask connection noninvasive ventilation with BiPAP in the treatment of AECOPD complicated with type Ⅱ respiratory failure is significant.The improvement of R，SpO2 and indexes of blood gas in patients with mask connection is faster than that in patients with nasal mask connection.But there is no significant difference in terms of the effect between the two connection methods after 12 hours of ventilation.Nasal mask connection is better in comfortability，compliance and the success rate，it is easier for clinical application., 百拇医药(吕华亮等)