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1、無創(chuàng)正壓通氣治療慢性阻塞性肺病并急性合并呼吸衰竭療效觀察于浩貴陽市烏當(dāng)區(qū)人民醫(yī)院貴州貴陽550018【摘要】R的：探索慢性阻塞性肺病并急性合并呼吸衰竭患者應(yīng)用無創(chuàng)正壓通氣治療的臨床效果，并總結(jié)臨床經(jīng)驗(yàn)。方法：本研究從2013年2月到2014年9月期間我院接收并治療的慢性阻塞性肺病并急性合并呼吸衰竭患者屮隨機(jī)性抽取110例為研宂對象，平均分為對照組和觀察組各55例。并進(jìn)行回顧性試驗(yàn)研究，其屮對照組患者應(yīng)用氣管插管有創(chuàng)機(jī)械通氣，研究組應(yīng)用無創(chuàng)正壓機(jī)械通氣。之后觀察兩組患者不同治療后的血?dú)庵笜?biāo)等，并記錄恢復(fù)時間，分析兩組患者不同治療后的治療總有效率。結(jié)果：兩組患者通氣后半小
2、時，研宂組PaO2明顯低于對照組，差異性較大(P<0.05);通氣半小時后，研究組患者PaCO2顯著低于對照組(P<0.05)；通氣48h后兩組患者PaO2、PaCO2差異較小(P>；0.05)；兩組患考不同治療以后，觀察組患者顯效率為37.18%。有效率為58.37%。治療總有效率為95.55%,均明顯高于對照組(P<0.05),以上差異均具有統(tǒng)計(jì)學(xué)意義。結(jié)論：針對慢性阻塞性肺病并急性合并呼吸衰竭患者應(yīng)用無創(chuàng)正壓通氣法治療的效果較好，可以推廣和應(yīng)用?！娟P(guān)鍵詞】慢性阻塞性肺病；急性；呼吸衰竭；無創(chuàng)正壓通氣；效果【中圖分類號】R563【文獻(xiàn)標(biāo)識碼】
3、B【文章編號】1764-8999(2015)7-0533-02[Abstract]Objective:Toexploretheclinicaleffectofnoninvasivepositivepressureventilationinthetreatmentofchronicobstructivepulmonarydiseaseandacutepatientscomplicatedwithrespiratoryfailureapplication.Methods:theresearchobject?is?duringtheperiodfrom2013?Februa
4、ry?to2014?Septemberinourhospital?from?receivingand?chronicobstructivepulmonarydisease?treatment?andllOcases?randomly?selected?patientswithacute?complicatedwithrespiratoryfailure,?andretrospectivepilot?study,?dividedintocontrol?andstudythetwo?groupwith55casesineachgroup.?Controlgroupofpa
5、tientstreatedwith?endotrachealintubation?mechanicalventilation?group,?studyon?Application?ofnoninvasivepositivepressureventilation?inpatients?aftertreatment,?observationof?bloodgas?index,?andrecordthe?recoverytime.Results:thetwogroupsof?patientswith?ventilation?inhalfanhour,?PaO2ofthest
6、udygroupwassignificantlylowerthanthecontrolgroup,?thedifferenceisbigger?(P<0.05);?ventilationafterhalfanhour,?thestudygroup?ofpatientswithPaC02?wassignificantlylowerthanthecontrolgroup?(P<0.05);?group?PaO2,?two?patientswith?small?PaC02differential?ventilationafter48h?(P>0.05).T
7、wodifferentgroupofpatientsaftertreatment,theobservationgroupofpatientswithsignificantefficiencyis37.18%.Theeffectiveratewas58.37%.Treatmentthetotaleffectiveratewas95.55%,significantlyhigherthanthecontrolgroup(P<0.05),theabovedifferencesarestatisticallysignificant.Conclusion:
