摘要
Abstract
Objective:To investigate the effect of BiPAP treatment in AECOPD with respiratory failure. Methods:68 patients of AECOPD with respiratory failure were randomly divided into study group and control group, each of 34 cases. The control group was given antispasmodic, anti-inflammatory, oxygen and other conventional treatment, the study group based on conventional treatment added BiPAP treatment. Observed the two groups before and after treatment, 3h and discharge blood-gas analysis index, heart rate, respiratory rate, blood pressure changes and disease prognosis. Results:Before treatment pH, PaO2, PaCO2 in two groups had no statistical difference (P>0.05), 3h after treatment, pH, PaO2, PaCO2 of study group were significantly improved ( P<0.05);patients in the control group were not significantly improved ( P>0.05) . The two groups before treatment, respiration, blood pressure were higher than normal, no significant differences between the two groups (P>0.05), 3h after treatment, heart rate, respiratory rate and systolic blood pressure of study group has significant reduction ( P<0.05) , the control group had no significant changes ( P>0.05) . Conclu-sion:For AECOPD with respiratory failure, BiPAP can improve clinical symptoms, correct the blood-gas a-nalysis index, which is an effective method in the treatment.关键词
慢性阻塞性肺疾病/呼吸衰竭/双水平无创正压通气Key words
Chronic obstructive pulmonary disease/Respiratory failure/Noninvasive positive pressure ventilation
