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目的:探讨无创呼吸机治疗慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者的临床应用效果。方法:选取我院自2010年1月至2013年1月间收治的124例慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者进行分析研究,随机分为2组,每组62例,对照组患者采用常规综合治疗,观察组患者在常规治疗的基础上辅助无创呼吸机进行通气治疗,观察比较两组患者血气指数改善情况、临床治疗效果以及不良反应。结果:两组患者治疗后,血气指数都有明显改善(P<0.05),但观察组患者改善情况更加明显。观察组患者临床治疗总有效率为95.16%,对照组患者治疗总有效率为75.81%,观察组患者临床治疗效果明显优于对照组(P<0.05)。观察组患者不良反应发生率也明显低于对照组(P<0.05)。结论:采用无创呼吸机进行慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者的治疗,可以有效改善患者血气指数,提高临床治疗效果,减轻患者压力,安全、有效,值得临床推广应用。
Objective: To investigate the clinical application of noninvasive ventilator in the treatment of patients with chronic obstructive pulmonary disease and type Ⅱ respiratory failure. Methods: A total of 124 patients with chronic obstructive pulmonary disease and type Ⅱ respiratory failure admitted to our hospital from January 2010 to January 2013 were randomly divided into 2 groups (n = 62 in each group). Patients in the control group The patients in the observation group were assisted by noninvasive ventilator on the basis of routine treatment. The improvement of blood gas index, clinical effect and adverse reactions were observed and compared in the two groups. Results: The blood gas index of both groups improved significantly (P <0.05) after treatment, but the improvement of the observation group was more obvious. The total effective rate of clinical observation was 95.16% in observation group and 75.81% in control group, and the clinical effect in observation group was better than that in control group (P <0.05). The incidence of adverse reactions in the observation group was also significantly lower than that in the control group (P <0.05). Conclusion: The treatment of chronic obstructive pulmonary disease with type Ⅱ respiratory failure in noninvasive ventilator can effectively improve the blood gas index, improve the clinical effect, relieve the stress, safety and effectiveness of the patients, which is worthy of clinical application.