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目的:探讨舒利迭与无创通气联合治疗老年COPD伴呼吸衰竭的疗效。方法:将84例COPD伴呼吸衰竭老年患者平均分为研究组与对照组。对照组采取常规综合方法治疗,研究组在此基础上应用舒利迭与无创通气联合治疗。结果:研究组治疗后肺功能水平FEV1、FEV1/FVC显著高于对照组及治疗前(P<0.05);动脉血气Pa O2、p H值高于对照组及治疗前(P<0.05);Pa CO2低于对照组及治疗前(P<0.05)。结论:舒利迭与无创通气联合治疗老年COPD伴呼吸衰竭疗效确切,可以有效改善动脉血气水平,提高肺功能。
Objective: To investigate the efficacy of seretide and noninvasive ventilation in the treatment of elderly COPD with respiratory failure. Methods: Eighty-four elderly COPD patients with respiratory failure were divided equally into study group and control group. The control group to take conventional comprehensive treatment, the study group on the basis of the application of Seretide and non-invasive ventilation combined treatment. Results: The pulmonary function level FEV1 and FEV1 / FVC of the study group were significantly higher than those of the control group and before treatment (P <0.05); PaO2 and p H of arterial blood gas were higher than those of the control group and before treatment (P <0.05); Pa CO2 lower than the control group and before treatment (P <0.05). Conclusion: The combination of seretide and noninvasive ventilation in the treatment of senile COPD with respiratory failure has definite curative effect, which can effectively improve arterial blood gas level and improve lung function.