设计速写课程ppt-1.ppt

无创正压通气治疗慢性阻塞性肺病并急性合并呼吸衰竭疗效观察
于浩
贵阳市乌当区人民医院贵州贵阳 550018
【摘要】目的:探索慢性阻塞性肺病并急性合并呼吸衰竭患者应用无创正压通气治疗的临床效果,并总结临床经验。方法:本研究从2013年2月到2014年9月期间我院接收并治疗的慢性阻塞性肺病并急性合并呼吸衰竭患者中随机性抽取110例为研究对象,平均分为对照组和观察组各55例。并进行回顾性试验研究,其中对照组患者应用气管插管有创机械通气,研究组应用无创正压机械通气。之后观察两组患者不同治疗后的血气指标等,并记录恢复时间,分析两组患者不同治疗后的治疗总有效率。结果:两组患者通气后半小时,研究组PaO2明显低于对照组,差异性较大(P<);通气半小时后,研究组患者PaCO2显著低于对照组(P<);通气48h后两组患者PaO2、PaCO2差异较小(P>);两组患者不同治疗以后,%。%。%,均明显高于对照组(P<),以上差异均具有统计学意义。结论:针对慢性阻塞性肺病并急性合并呼吸衰竭患者应用无创正压通气法治疗的效果较好,可以推广和应用。
【关键词】慢性阻塞性肺病;急性;呼吸衰竭;无创正压通气;效果
【中图分类号】R563 【文献标识码】B 【文章编号】1764-8999(2015)7-0533-02
【Abstract】Objective: To explore the clinical effect of non invasive positive pressureventilation in the treatment of chronic obstructive pulmonary disease and acute plicated with respiratory failure : the research object?is?during the period from 2013?February?to 2014?Septemberin our hospital?from?receiving and?chronic obstructive pulmonary
disease?treatment?and110 cases?randomly?selected?patients with plicated with respiratory failure,?andretrospective pilot?study,?divided into control?and study the two?group with 55 cases in each group.?Control group of patients treated with?endotracheal intubation?mechanical ventilation?group,?study on?Application?of noninvasive positive pressure ventilation?in patients?after treatment,?observation of?blood gas?index,?and record the?recovery : the two groups of?patients with?ventilation?in half an hour,?PaO2 of the study groupwas significantly lower than the control group,?the difference is bigger?(P<);?ventilationafter half an hour,?the study group?of patients with PaCO2?was significantly lower than the control group?(P<);?group?PaO2,?two?patients with?small?PaCO2 differential?ventilation after 48h?(P>).Two different group of patients after treatment, the observation group of patients with significant efficiency is %.The effective rate was %.Treatment t