Clinical Observation and Influence Factor Analysis on Treatment of the Aged COPD with Acute Respiratory Failure by Using Harmless Bi-level Positive Airway Pressures

ZHONG Yihua; et al

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Clinical Observation and Influence Factor Analysis on Treatment of the Aged COPD with Acute Respiratory Failure by Using Harmless Bi-level Positive Airway Pressures

更新时间：2024-01-17

- Clinical Observation and Influence Factor Analysis on Treatment of the Aged COPD with Acute Respiratory Failure by Using Harmless Bi-level Positive Airway Pressures
- Journal of Chongqing Medical University Issue 3, Pages: 303-305(2007)
- 作者机构：
  
  1. 重庆市肿瘤研究所呼吸内科
  2. 重庆市肿瘤研究所呼吸内科,重庆,400030
- 作者简介：
- 基金信息：
- DOI：
  CLC： R563.8;R563.9
- Published：2007，
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[1]钟艺华,童永红,蔡华荣,钟轶峰.无创双水平气道正压通气治疗老年性COPD并发急性呼吸衰竭的临床观察及影响因素分析[J].重庆医科大学学报,2007(03):303-305.

ZHONG Yihua, et al. Clinical Observation and Influence Factor Analysis on Treatment of the Aged COPD with Acute Respiratory Failure by Using Harmless Bi-level Positive Airway Pressures. [J]. Journal of Chongqing Medical University (3):303-305(2007)
[1]钟艺华,童永红,蔡华荣,钟轶峰.无创双水平气道正压通气治疗老年性COPD并发急性呼吸衰竭的临床观察及影响因素分析[J].重庆医科大学学报,2007(03):303-305. DOI：

ZHONG Yihua, et al. Clinical Observation and Influence Factor Analysis on Treatment of the Aged COPD with Acute Respiratory Failure by Using Harmless Bi-level Positive Airway Pressures. [J]. Journal of Chongqing Medical University (3):303-305(2007) DOI：

摘要

目的:观察无创双水平气道正压通气治疗老年性COPD患者并发急性呼吸衰竭的临床疗效及影响因素分析。方法:将25例老年性COPD并发急性呼吸衰竭的患者随机分为两组

治疗组（13例）:在常规治疗的基础上给予BiPAP呼吸机无创通气;对照组（12例）:常规治疗的同时给予鼻导管低流量吸氧。观察两组治疗前、治疗后2h、72h、120h动脉血气分析和临床表现的变化情况。结果:BiPAP呼吸机对提高PaO2、降低PaCO2及改善pH、HR和R的疗效肯定（P<0.01）。结论:应用无创双水平气道正压通气治疗老年性COPD并发急性呼吸衰竭的疗效肯定

但也存在一定的影响因素。

Abstract

Objective:To evaluate the clinical efficacy and analysis influence factors on treatment of the aged COPD with acute respiratory failure by using harmless bi-level positive airway pressure. Method:Twenty-five patients who were identified the aged COPD with acute respiratory failure were divided into two groups randomly:13 in treatment group in which BiPAP was used in addition of conventional treatment;12 in control group in which nasal catheter oxygen inhalation was used. The change of the arterial blood gas and the clinical performance were observed before and 2 hours、72 hours 、120hours after treatment. Result: It is confirmed that the BiPAP can raise PaO2

lower PaCO2

improve PH

HR and R(P<0.01). Conclusion:Harmless bi-level positive airway pressure is useful in dealing with COPD with acute respiratory failure

but certain factors may influent its effect.

关键词

呼吸机无创双水平气道正压通气（BiPAP）慢性阻塞性肺部疾病（COPD）呼吸衰竭

Keywords

RespiratorHarmless bi-level positive airway pressure(BiPAP)Chronic obstructive pulmonary disease(COPD)respiratory failure

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