无创呼吸机在老年慢性阻塞性肺疾病合并左心衰竭患者治疗中的应用效果(1)
[摘要]目的 探討无创呼吸机在老年慢性阻塞性肺疾病(COPD)合并左心衰竭患者治疗中的应用效果。方法 选取2017年5月～2018年7月我院收治的90例COPD合并左心衰竭患者作为研究对象，回顾所有患者的病例资料，根据不同的治疗措施将患者分为对照组与实验组，每组各45例。对照组采用常规治疗，实验组在对照组的基础上增加无创呼吸机治疗，比较两组患者血气指标、肺功能、生命体征及治疗总有效率。结果 治疗后，实验组患者的动脉血氧分压(PaO2)、pH值高于对照组，动脉血二氧分压(PaCO2)低于对照组，差异均有统计学意义(P<0.05);实验组患者的收缩压、舒张压、心率、呼吸频率均低于对照组，差异有统计学意义(P<0.05);实验组患者的1 s用力呼气容积(FEV1)、用力肺活量(FVC)、呼吸峰流量(PEF)均高于对照组(P<0.05);实验组的治疗总有效率(97.8%)高于对照组(84.4%)，差异有统计学意义(P<0.05)。结论 无创呼吸机用于老年COPD合并左心衰竭患者中，不仅可以改善血气指标与肺功能，还可以提高患者的生命体征及治疗总有效率，临床应用价值较高，值得推广。
[关键词]无创呼吸机;老年慢性阻塞性肺疾病;左心衰竭;动脉血气指标;肺功能
[中图分类号] R563.9 [文献标识码] A [文章编号] 1674-4721(2019)8(c)-0047-04
[Abstract] Objective To investigate the application effect of non-invasive ventilator in the treatment of elderly patients with chronic obstructive pulmonary disease (COPD) complicated with left heart failure. Methods Ninety patients with COPD and left heart failure admitted to our hospital from May 2017 to July 2018 were selected as the subjects， and medical records of these patients were reviewed. According to different treatment measures， they were divided into the control group and the experimental group， with 45 cases in each group. In the control group， conventional therapy was used， while in the experimental group， non-invasive ventilator on the basis of the control group was added. The blood gas index， lung function， vital signs and total therapeutic effectiveness rate of the two groups were compared. Results After treatment， the level of arterial oxygen partial pressure (PaO2) and pH value in the experimental group were higher than those in the control group， and arterial carbon dioxide partial pressure (PaCO2) was lower than that in the control group (P<0.05). The systolic blood pressure， diastolic blood pressure， heart rate and respiratory rate of the experimental group were lower than those of the control group (P<0.05). In the experimental group， 1 s forced expiratory volume (FEV1)， forced vital capacity (FVC)， peak expiratory flow (PEF) were higher than those of the control group (P<0.05). The total therapeutic effectiveness rate of the experimental group (97.8%) was higher than that of the control group (84.4%)， the difference was statistically significant (P<0.05). Conclusion For elderly patients with COPD complicated with left heart failure， non-invasive ventilator can not only improve blood gas index and lung function， but also improve vital signs and total therapeutic effectiveness rate. It is worthy of promotion， with high clinical value., http://www.100md.com(黄志伟 林洁 周宇非)
[关键词]无创呼吸机;老年慢性阻塞性肺疾病;左心衰竭;动脉血气指标;肺功能
[中图分类号] R563.9 [文献标识码] A [文章编号] 1674-4721(2019)8(c)-0047-04
[Abstract] Objective To investigate the application effect of non-invasive ventilator in the treatment of elderly patients with chronic obstructive pulmonary disease (COPD) complicated with left heart failure. Methods Ninety patients with COPD and left heart failure admitted to our hospital from May 2017 to July 2018 were selected as the subjects， and medical records of these patients were reviewed. According to different treatment measures， they were divided into the control group and the experimental group， with 45 cases in each group. In the control group， conventional therapy was used， while in the experimental group， non-invasive ventilator on the basis of the control group was added. The blood gas index， lung function， vital signs and total therapeutic effectiveness rate of the two groups were compared. Results After treatment， the level of arterial oxygen partial pressure (PaO2) and pH value in the experimental group were higher than those in the control group， and arterial carbon dioxide partial pressure (PaCO2) was lower than that in the control group (P<0.05). The systolic blood pressure， diastolic blood pressure， heart rate and respiratory rate of the experimental group were lower than those of the control group (P<0.05). In the experimental group， 1 s forced expiratory volume (FEV1)， forced vital capacity (FVC)， peak expiratory flow (PEF) were higher than those of the control group (P<0.05). The total therapeutic effectiveness rate of the experimental group (97.8%) was higher than that of the control group (84.4%)， the difference was statistically significant (P<0.05). Conclusion For elderly patients with COPD complicated with left heart failure， non-invasive ventilator can not only improve blood gas index and lung function， but also improve vital signs and total therapeutic effectiveness rate. It is worthy of promotion， with high clinical value., http://www.100md.com(黄志伟 林洁 周宇非)