发布时间 : 星期一 文章慢性阻塞性肺疾病并Ⅱ型呼衰患者无创机械通气治疗体会更新完毕开始阅读28a2f731900ef12d2af90242a8956bec0975a5a1
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慢性阻塞性肺疾病并Ⅱ型呼衰患者无创机械通气治疗体会
作者：王炳炽
来源：《中国医药导报》2011年第20期
[摘要] 目的：观察无创机械通气治疗慢性阻塞性肺疾病（COPD）并Ⅱ型呼吸衰竭的疗效，并总结治疗经验，提高应用无创机械通气的治疗水平。方法：对36例老年COPD并Ⅱ型呼衰患者在常规治疗（抗感染、平喘、祛痰等）基础上给予无创机械通气治疗，观察治疗前后的临床症状、体征及动脉血气变化。结果：经无创机械通气治疗后，36例患者中有30例患者明显好转，有效率为83％。结论：无创机械通气治疗COPD并Ⅱ型呼吸衰竭疗效较好。在无创机械通气的使用中，合适的适应证选择、心理干预、参数调节及气道管理对疗效影响较大。 [关键词] 慢性阻塞性肺疾病；呼吸衰竭；无创机械通气
[中图分类号] R563[文献标识码] B [文章编号] 1673-7210（2011）07（b）-045-02
Experience of using non-invasive mechanical ventilation on patients due to type Ⅱ respiratory failure of chronic obstructive pulmonary disease WANG Bingchi
Department of Respiratory Medicine，The People's Hospital of Ya'an City，Ya'an 625000，China
[Abstract] Objective：To observe the efficacy of non-invasive mechanical ventilation in treatment of COPD with Type Ⅱ respiratory failure，summarize the treatment experience and improve the treatment levels of non-invasive mechanical ventilation. Methods：36 elderly COPD patients with type Ⅱ respiratory failure were given non-invasive mechanical ventilation based on conventional therapy（anti-infection, relieving asthma, eliminating phlegmt, etc）. Observation was made on the clinical symptoms and changes of arterial blood gas in pre/post-therapy. Results：After therapy of non-invasive mechanical ventilation, thirty patients（83%） got benefit from the treatment. Conclusion：Non-invasive mechanical ventilation has good effection COPD cases with type Ⅱ respiratory failure when using non-invasive mechanical ventilation, the appropriate indications of therapy, psychological intervention, parameter adjustment and airway management have a greater impact on the efficacy.