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经鼻高流量湿化氧疗治疗慢阻肺急性加重合并Ⅱ型呼吸衰竭的临床效果

杜凯 黄新奎 窦娟娟

生命科学仪器2026,Vol.24Issue(4):19-21,3.
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生命科学仪器2026,Vol.24Issue(4):19-21,3.DOI:10.11967/2026240807

经鼻高流量湿化氧疗治疗慢阻肺急性加重合并Ⅱ型呼吸衰竭的临床效果

Efficacy of High-Flow Nasal Cannula Oxygen Therapy on Acute Exacerbation of COPD with Type Ⅱ Respiratory Failure

杜凯 1黄新奎 1窦娟娟1

作者信息

  • 1. 仪征市人民医院重症医学科,江苏仪征 211400
  • 折叠

摘要

Abstract

Objective:To evaluate the clinical efficacy of nasal high-flow humidified oxygen therapy as a ventilatory support for acute exacerbation of COPD complicated by type Ⅱ respiratory failure.Methods:A cohort of 81 patients presenting with acute exacerbation of chronic obstructive pulmonary disease(AECOPD)and concurrent type Ⅱ respiratory failure was en-rolled,all from Yizheng People's Hospital,were included from January 2023 to June 2025.Grouping based on differences in treatment regimens.The control group(n=40)was treated with non-invasive positive pressure ventilation;The obser-vation group(n=41)received a ventilation regimen of nasal high-flow humidified chemotherapy.Blood gas indicators and lung function were compared between the two groups to assess the risk of complications.Results:After treatment,blood gas indicators(oxygen partial pressure,blood oxygen saturation,carbon dioxide partial pressure)in the observation group were better than those in the control group(P<0.05).The peak expiratory flow,forced expiratory volume at the first sec-ond and forced vital capacity compared with the control group,the observation group showed markedly elevated levels(P<0.05).The complication rate compared with the control group,the observation group showed markedly elevated levels(P<0.05).Conclusion:Among patients presenting with acute exacerbation of COPD complicated by type Ⅱ respiratory failure,choosing high-flow intranasal humidified chemotherapy for ventilation can improve blood gas indicators and lung function,reducing the risk of complications.

关键词

经鼻高流量湿化氧疗/慢阻肺急性加重/呼吸衰竭/肺功能

Key words

Nasal high-flow humidification oxygen therapy/Acute exacerbation of COPD/respiratory failure/Lung function

分类

医药卫生

引用本文复制引用

杜凯,黄新奎,窦娟娟..经鼻高流量湿化氧疗治疗慢阻肺急性加重合并Ⅱ型呼吸衰竭的临床效果[J].生命科学仪器,2026,24(4):19-21,3.

生命科学仪器

1671-7929

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