实用临床医药杂志2013，Vol.17Issue(13)：57-59,3.DOI:10.7619/jcmp.201313019
无创通气技术在肺心病合并Ⅱ型呼吸衰竭治疗中的应用价值
clinical application of noninvasive ventilation in the treatment of cor pulmonale combined with type 2 respiratory failure
巩晓峰 1吕建斌1
作者信息
- 1. 陕西省西安市周至县人民医院内三科,陕西西安,710400
- 折叠
摘要
Abstract
Objective To observe noninvasive positive pressure ventilation technology (BiPAP) in the treatment of cor pulmonale combined with type 2 respiratory failure.Methods Forty patients with chronic cor pulmonale combined with type 2 respiratory failure were selected and randomly divided into control group (n =20) and observation group (n =20).The control group received routine treatment of low flow oxygen and routine anti-infection to relieve spasmolysis and asthma and correct water and electrolyte disorder.The observation group,on the basis of the routine treatment of the control group,received noninvasive positive pressure ventilation.Clinical manifestations,arterial blood gas changes and adverse reactions of the two groups before and 24 hours after treatment were observed.Results Twenty-four hours after treatment,RR and HR of the two groups were reduced and the differences were statistically significant (P ＜ 0.01).Sa(O2) of the observation group increased significantly after treatment.The difference of the two groups was statistically significant (P＜0.01).Pa(CO2) and Pa(O2) decreased markedly.The differences of the two groups were statistically significantly (P ＜ 0.05).The difference of pH value between the observation group and the control group was statistically significant (P ＜ 0.05).Conclusion BiPAP can effectively improve clinical symptoms of cor pulmonale patients combined with type 2 respiratory failure and reduce the cardiac load with less adverse reactions.Thus it is worthy of wide clinical application.关键词
正压通气/肺心病/呼吸功能不全Key words
positive pressure ventilation/ cor pulmonale/ respiratory insufficiency分类
医药卫生引用本文复制引用
巩晓峰,吕建斌..无创通气技术在肺心病合并Ⅱ型呼吸衰竭治疗中的应用价值[J].实用临床医药杂志,2013,17(13):57-59,3.
