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目的观察家庭使用无创呼吸机治疗慢性阻塞性肺疾病(COPD)合并慢性呼吸衰竭的临床疗效。方法选择2012年1月-2013年7月收治的COPD合并慢性呼吸衰竭患者20例,出院后继续使用无创呼吸机辅助呼吸治疗,观察治疗后患者动脉血气分析结果及呼吸衰竭改善情况。结果 13例(65%)低氧和二氧化碳潴留症状缓解,1例(5%)因病情加重收住ICU行气管插管使用有创呼吸机辅助呼吸,6例(30%)因病情加重反复住院1~2次。结论家庭使用无创呼吸机治疗COPD合并慢性呼吸衰竭,可纠正缺氧及二氧化碳潴留,明显减少住院次数,节省治疗费用,使用方便,患者和家属更容易接受,值得临床推广。
Objective To observe the clinical efficacy of home-based non-invasive ventilator in the treatment of chronic obstructive pulmonary disease (COPD) and chronic respiratory failure. Methods Twenty patients with COPD and chronic respiratory failure who were admitted to our hospital from January 2012 to July 2013 were enrolled in this study. Non-invasive ventilator-assisted respiratory therapy was continued after discharge, and arterial blood gas analysis and respiratory failure were observed after treatment. Results In 13 patients (65%), symptoms of hypoxemia and carbon dioxide remission were relieved. One patient (5%) was admitted to the ICU due to exacerbations. Intracavitary catheter assisted breathing was used in the endotracheal intubation. Six patients (30% 1 to 2 times. Conclusion The use of noninvasive ventilator in the treatment of COPD with chronic respiratory failure in the family can correct hypoxia and carbon dioxide retention, significantly reduce the number of hospitalizations, save treatment costs, ease of use, patients and their families are more acceptable and worthy of clinical promotion.