• 四川省第四人民醫(yī)院呼吸科,四川成都610016;

目的:探討鼻(面)罩無創(chuàng)雙水平氣道正壓通氣(BiPAP)在慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭的治療作用。方法:入選病例60例,分為常規(guī)治療組28例,采用常規(guī)治療;呼吸機(jī)治療組32例,在常規(guī)資料基礎(chǔ)上加用BiPAP無創(chuàng)呼吸機(jī)治療,兩組患者心率,呼吸頻率,血?dú)夥治霰容^。結(jié)果:呼吸機(jī)治療組患者心率,呼吸頻率,血?dú)夥治龅母纳苾?yōu)于常規(guī)治療組,差異有統(tǒng)計(jì)學(xué)意義(P lt; 0.05)。結(jié)論:無創(chuàng)雙水平氣道正壓機(jī)械通氣輔助治療COPD合并Ⅱ型呼吸衰竭具有肯定的療效,能更快地緩解患者的臨床癥狀;提高PaO2,SaO2和降低PaCO2;能更好地促進(jìn)病情的恢復(fù),減少住院時(shí)間。

引用本文： 萬小兵,陳宇潔,陸海英,李斌. BiPAP無創(chuàng)呼吸機(jī)治療COPD急性加重合并Ⅱ型呼衰60例臨床分析. 華西醫(yī)學(xué), 2009, 24(6): 1431-1433. doi: 復(fù)制

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  1. 1. 朱蕾,鈕善福,張書平,等.經(jīng)面罩機(jī)械通氣治療慢性阻塞性肺疾病呼吸衰竭患者的回顧性分析[J].中華結(jié)核和呼吸雜志,2003,26(7):407-410.
  2. 2. 中華醫(yī)學(xué)會(huì)呼吸病分會(huì).慢性阻塞性肺疾病診治指南[J]. 中華結(jié)核和呼吸雜志,2002,25(8):453-460.
  3. 3. CONTIG, ANTONELLIM, NAVALESIP, et al. Noninvasive vs. conventional mechanical ventilation in patients with chronic obstructive pulmonary disease after failure of medical treatment in the ward a randomized trial[J].Intensive Care Med,2002,28(12):1701-1707.
  4. 4. 王辰,張洪玉.改進(jìn)慢性阻塞性肺疾病合并呼吸衰竭的機(jī)械通氣策略[J].中華內(nèi)科雜志,2000,39(6):369.
  5. 5. 曹志新,王辰.無創(chuàng)機(jī)械通氣的應(yīng)用范圍及指征[J]. 中華結(jié)核和呼吸雜志,2002,25(3):136-137.
  6. 6. Pauwels RA, Buist AS, Calverlry PMA, et al.NHLBI/WHO global initiative for chronic obstructive lung disease (GOLD)workshop summary.Global strategy for the diagnosis,management,and prevention of chronic obstructive lung disease[J]. Am J Respir Crit Care Med, 2001,163(5):1257-1276.
  7. 7. 王宋平,李國(guó)平,王榮麗,等.無創(chuàng)通氣治療慢性阻塞性肺疾病急性呼吸衰竭的臨床研究[J].中國(guó)呼吸與危重監(jiān)護(hù)雜志,2002,1(4):233-235.