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目的:对慢性阻塞性肺炎合并呼吸衰竭患者采用无创正压通气进行治疗。方法:对我院在2010年8月～2013年9月期间收治的86例慢性阻塞性肺炎合并呼吸衰竭患者进行随机分组,分成试验组(44例)和对照组(42例);对照组:患者进行综合性的内科治疗;试验组:在对照组治疗的基础上,对患者进行无创正压通气治疗。对两组患者在治疗前后的动脉气血进行分析,并且观察患者在临床上的症状。结果:在对患者进行治疗之后,对两组患者的PaO2、PH值、PaCO2进行组间比较,差异显著,具有统计学意义(P<0.05)。结论:对慢性阻塞性肺炎合并呼吸衰竭患者采用无创正压通气进行治疗,能够有效地改善患者的缺氧症状,缩短了患者的住院时间,减轻了患者的痛苦和压力,提高了治疗效果,促进了患者的康复。值得在临床上进行推广和使用。
Objective: To treat non-invasive positive pressure ventilation in patients with chronic obstructive pulmonary disease and respiratory failure. Methods: Eighty-six patients with chronic obstructive pulmonary disease and respiratory failure who were treated in our hospital from August 2010 to September 2013 were randomly divided into experimental group (44 cases) and control group (42 cases). Control group: Patients with comprehensive medical treatment; experimental group: on the basis of the control group, patients with non-invasive positive pressure ventilation treatment. Two groups of patients before and after treatment of arterial blood gas analysis, and observe the patient’s clinical symptoms. Results: After the patients were treated, PaO2, PaCO2 and PaCO2 in two groups were significantly different between the two groups (P <0.05). Conclusion: The treatment of patients with chronic obstructive pulmonary disease and respiratory failure by noninvasive positive pressure ventilation can effectively improve the patients’ symptoms of hypoxia, shorten the hospitalization time, reduce the pain and pressure of patients, improve the treatment effect and promote The patient’s recovery. Worthy of clinical promotion and use.