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目的:研究分析了慢性呼吸衰竭患者采用经面罩无创性和气管插管有创性持续正压通气治疗的临床效果。方法:将2014年6月~2016年4月我院确诊的50例慢性呼吸衰竭患者随机纳入A组(面罩组)和B组(气管插管组)中,每组25例,观察记录所有患者的pH值、PaO_2值、PaCO_2值和临床疗效等值。结果:两组患者的PaO_2较治疗前均明显提升(P<0.05),而治疗前后的PaCO_2值仅B组有显著提高(P<0.05),两组治疗后的PaO_2值和PaCO_2值均具有显著性差异(P<0.05),A组患者治疗有效率明显低于B组患者治疗有效率(52.00%vs 88.00%),组间数据具有显著性差异(P<0.05)。结论:相对于气管插管持续正压通气而言,慢性呼吸衰竭患者采用经面罩持续正压通气的临床疗效也较理想,但前者临床疗效更好,合理搭配两种方法进行治疗可以起到更佳的治疗效果。
OBJECTIVE: To study the clinical effects of invasive noninvasive and endotracheal continuous positive pressure ventilation in patients with chronic respiratory failure. Methods: Fifty patients with chronic respiratory failure diagnosed in our hospital from June 2014 to April 2016 were randomly divided into group A (mask group) and group B (endotracheal intubation group), 25 patients in each group. All the patients PH value, PaO_2 value, PaCO_2 value and clinical efficacy equivalent. Results: PaO2 in both groups increased significantly (P <0.05) before and after treatment, PaCO_2 before and after treatment was significantly increased in group B only (P <0.05), PaO_2 and PaCO_2 in both groups were significantly higher after treatment (P <0.05). The effective rate of treatment in group A was significantly lower than that in group B (52.00% vs 88.00%). There was significant difference between groups (P <0.05). CONCLUSIONS: Compared with continuous positive endotracheal intubation, patients with chronic respiratory failure have a satisfactory clinical effect of continuous positive pressure ventilation through the mask. However, the former has better clinical efficacy and the treatment with the two methods can be more effective Good therapeutic effect.