摘要
Abstract
Objective To discuss the effects of bilevel non-invasive mechanical ventilation in the treatment of chronic obstructive pulmonary disease with type II respiratory failure. Methods 134 cases of patients with typeII respiratory failure due to acute exacerbation of chronic obstructive pulmonary disease from January 2010 to December 2013 were selected and randomly divided into observation group and control group,67 cases in each group,the control group re-ceived conventional comprehensive treatment,the observation group received non-invasive ventilation therapy base on the routine treatment.The heart rate(HR),respiratory rate(RR)and arterial blood gas index change before and after treat-ment and peak expiratory flow (PEF)rate improvement in two groups was observed respectively. Results Compared with before treatment,pH,PaO2 of two groups after treatment of 72 hours was significantly increased respectively,while PaCO2 was significantly decreased,with statistical difference(P<0.05).Compared with control group,the improvement in observa-tion group was more significantly (P<0.05).Compared with before treatment,HR,RR in two groups after treatment of 72 hours was significantly decreased respectively,with statistical difference (P<0.05).Compared with control group,observa-tion group decreased more significantly,with statistical difference (P<0.05).Compared with before treatment,PEF in two groups after treatment of 72 hours was significantly increased,observation group increased more significantly (P<0.05). Conclusion Bilevel non-invasive mechanical ventilation in the treatment of chronic obstructive pulmonary disease combined with type II respiratory failure can significantly improve the result of blood gas analysis,HR,RR and PEF level,improve the patient’s airway obstruction,and is a safe,effective treatment method.关键词
双水平正压无创机械通气/慢性阻塞性肺病/Ⅱ型呼吸衰竭Key words
Bilevel non-invasive mechanical ventilation/Chronic obstructive pulmonary disease/TypeIIrespiratory failure分类
医药卫生
