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目的分析并探讨无创正压通气治疗慢性阻塞性肺疾病急性加重期(AECOPD)的不良反应及其相应对策。方法随机抽取2009年2月至2012年2月三门峡市中心医院收治的AECOPD重症患者45例,均给予无创正压通气治疗,并对其治疗资料进行回顾性分析。结果通过对治疗资料进行统计分析结果发现,45例患者中存在口咽干燥者9例,存在恐惧心理者30例,发生胃胀气者24例,存在排痰障碍者7例,发生罩压迫者28例。结论对AECOPD患者实施无创正压通气治疗能够获得理想的治疗效果,不良反应的发生率相对较低,但是对其防范工作不可轻视。
Objective To analyze and discuss the adverse reactions of noninvasive positive pressure ventilation in the treatment of acute exacerbation of chronic obstructive pulmonary disease (AECOPD) and its corresponding countermeasures. Methods Forty-five AECOPD critically ill patients admitted from Sanmenxia Central Hospital from February 2009 to February 2012 were randomly assigned to receive noninvasive positive pressure ventilation and retrospectively analyzed their treatment data. Results Through the statistical analysis of the treatment data, there were 9 cases of oropharyngeal dryness in 45 patients, 30 cases of fear psychosis, 24 cases of flatulence, 7 cases of sputum discharge and 28 cases of oppression example. Conclusion AECOPD patients with noninvasive positive pressure ventilation can achieve the desired effect of treatment, the incidence of adverse reactions is relatively low, but its prevention work can not be underestimated.