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目的:分析慢阻肺(COPD)合并呼衰患者的主要症状、体征及其治疗效果。方法:将66例COPD合并呼衰患者根据入组先后顺序分为两组,对其临床资料进行分析,总结其常见的临床表现,对照组予以吸氧、抗感染等对症治疗,观察组在吸氧、抗感染的同时予以无创通气治疗。对比两组疗效。结果:两组患者在治疗前均有不同程度的呼吸系统症状、循环系统症状、消化系统症状、泌尿系统症状、精神症状、发绀、肺部体征、心血管体征、神经系统体征,两组在这些症状及体征方面无差异(P>0.05);两组患者在治疗后的血气指标及呼吸、心率均较治疗前有所好转(P<0.05),观察组的各项指标好转幅度优于对照组(P<0.05)。结论:无创通气疗法在治疗COPD合并呼衰患者方面疗效显著,值得推广。
OBJECTIVE: To analyze the main symptoms, signs and the therapeutic effects of chronic obstructive pulmonary disease (COPD) patients with respiratory failure. Methods: Sixty-six COPD patients with respiratory failure were divided into two groups according to the sequence of admission. The clinical data were analyzed and the common clinical manifestations were summarized. The control group was given symptomatic treatment of oxygen and anti-infection. Oxygen, anti-infective at the same time non-invasive ventilation treatment. Compare two groups curative effect. Results: Both groups had different degrees of respiratory symptoms, circulatory symptoms, digestive symptoms, urinary symptoms, psychiatric symptoms, cyanosis, lung signs, cardiovascular signs and neurological signs before treatment. In both groups, (P> 0.05). The blood gas index, respiration rate and heart rate of the two groups were better than those before treatment (P <0.05), and the improvement rate of each index in the observation group was better than that of the control group (P <0.05). Conclusion: Noninvasive ventilation has significant curative effect in the treatment of COPD patients with respiratory failure, which is worthy of promotion.