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目的探讨BiPAP呼吸机辅助慢性阻塞性肺疾病(COPD)合并衰竭机械通气患者撤机的价值。方法把85例有创机械通气的COPD合并呼吸呼吸衰竭患者中,首次撤机失败的28例患者随机分为两组:BiPAP呼吸机治疗组(A组)和对照组(B组),比较两者机械通气时间、住ICU时间、医疗费用及病死率等。结果机械通气时间:A组(7±3)天,B组(14±3)天;住ICU时间:A组(9±3),B组(27±6天。医疗费:A组(13980±2000)元,B组(25000±3213)元;病死率:A组14.3%,B组64.3%.两者有显著差异(P<0.01)。结论对于符合撤除有创机械通气的COPD合并呼吸衰竭而不能成功撤机的患者,应用BiPAP呼吸机,可以避免再插管,减少医疗费用,提高抢救成功率。
Objective To investigate the value of weaning in BiPAP ventilator-assisted chronic obstructive pulmonary disease (COPD) patients with failing mechanical ventilation. Methods Totally 85 patients with COPD and respiratory failure patients who had invasive mechanical ventilation were randomly divided into two groups: BiPAP ventilator treatment group (group A) and control group (group B) Mechanical ventilation time, ICU stay time, medical costs and fatality rate. Results The duration of mechanical ventilation was 7 ± 3 days in group A and 14 ± 3 days in group B, ICU time was 9 ± 3 in group A, 27 ± 6 days in group B, ± 2000) and B (25000 ± 3213), respectively.A case fatality rate was 14.3% in group A and 64.3% in group B. There was a significant difference between the two groups (P <0.01) .Conclusion COPD with respiratory distress Failure to successfully wearable patients, the use of BiPAP ventilator, to avoid re-intubation, reduce medical costs and improve the success rate of rescue.