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无创通气治疗COPD呼吸衰竭并意识改变患者的临床观察 被引量:4

Effects of non-invasion BiPAP ventilation for COPD patient with severe respiratory failure
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摘要 目的 :观察BiPAP无创通气治疗慢阻肺 (COPD)呼吸衰竭并意识障碍患者的临床疗效。方法 :对 38例COPD呼吸衰竭伴意识障碍患者进行经面罩通气治疗。结果 :通气前后患者血气分析及临床症状明显改善PH值升高 (P <0 .0 5 )PaCO2 水平降低 (P <0 .0 5 )PaO2 水平升高 ,病人意识改善。结论 :BiPAP可有效改善严重CO2 Objective: To investigate the effect of BiPAP ventilator for COPD with acute hypercapnia respiratory failure(AHRF) treatment. Method: 38 COPD patients with AHRF were enrolled in the study. All patients received standard therapy and non-invasion BiPAP ventilate. The arterial blood gas (ABG) were measured after 4hrs and 24hrs ventilator. Result: ABG in 38 patients with BiPAP has significantly improved. The HP was increased (P<0.05). PaCO 2 was reduced (P<0.05) and PaO 2 was increased (P<0.05). Clinical symptoms were also improved. Conclusion: Non-invasive BiPAP ventilation is definitely valuable for COPD with respiratory failure patients. The method could reduce the need of intubations.
作者 刘龙
出处 《河北医学》 CAS 2004年第9期796-798,共3页 Hebei Medicine
关键词 慢性阻塞性肺病 无创通气 呼吸衰竭 Chronic obstructive pulmonary diease (COPD) Non-invasive ventilation Respiratory failure
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