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目的研究慢性阻塞性肺疾病合并呼吸衰竭应用无创通气进行的临床效果。方法 92例慢性阻塞性肺疾病合并呼吸衰竭患者,将其随机分为对照组和观察组,各46例。对照组采取祛痰和抗感染等治疗,观察组则在此基础上进行无创通气治疗。对比两组患者的疗效、动脉血二氧化碳分压(Pa CO2)、动脉血氧分压(Pa O2)、酸碱度(p H)和动脉血气改变状况。结果观察组转好率为87.0%,显著优于对照组的60.9%(P<0.05)。观察组治疗后动脉血气改善状况显著优于对照组(P<0.05)。结论选取无创通气治疗慢性阻塞性肺疾病合并呼吸衰竭具有显著临床效果,患者治疗后的心率与呼吸频率等临床症状显著缓解,值得进一步推广使用。
Objective To study the clinical effect of non-invasive ventilation in chronic obstructive pulmonary disease with respiratory failure. Methods Ninety - two patients with chronic obstructive pulmonary disease complicated with respiratory failure were randomly divided into control group and observation group, with 46 cases in each group. Control group to expectorant and anti-infection treatment, the observation group is based on this non-invasive ventilation treatment. The curative effect, PaCO 2, Pa O 2, pH and arterial blood gas change were compared between the two groups. Results The improvement rate of the observation group was 87.0%, which was significantly better than that of the control group (60.9%, P <0.05). The observation group improved arterial blood gas after treatment was significantly better than the control group (P <0.05). Conclusion Non-invasive ventilation treatment of chronic obstructive pulmonary disease with respiratory failure has a significant clinical effect, the patient’s heart rate and respiratory rate after treatment significantly alleviate the clinical symptoms, it is worth further promotion and use.