【摘要】：目的探究無(wú)創(chuàng)呼吸機(jī)在慢性阻塞性肺病(COPD)合并左心衰竭高齡患者中的應(yīng)用價(jià)值。方法選取80例COPD合并左心衰竭且符合條件的高齡患者,將患者隨機(jī)分為兩組,各40例,對(duì)照組患者使用常規(guī)藥物治療,觀察組采用無(wú)創(chuàng)呼吸機(jī)加常規(guī)藥物治療,觀察并記錄患者治療前和治療后1.5 h、3 h和7 d患者的心率(HR)、血壓(BP)、腦鈉肽(BNP)、呼吸頻率(RR)和動(dòng)力血?dú)夥治?PaCO2、PaO2、pH)。結(jié)果兩組患者的BNP、PaCO2水平都比治療前提高(P0.05),PaO2水平較治療前降低(P0.05),而pH較治療前都有所升高。觀察組的患者PaCO2在治療后1.5h、3 h和7 d都低于對(duì)照組(P0.05),而PaO2和pH治療后1.5 h、3 h和7 d都高于對(duì)照組(P0.05)。兩組患者BP、HR和RR治療后都較治療前有所降低(P0.05),觀察組患者治療后1.5 h、3 h和7 d的BP、HR和RR都明顯低于對(duì)照組(P0.05)。結(jié)論兩組患者的HR、SBP、BNP、RR和動(dòng)力血?dú)夥治?PaCO2、PaO2、pH)治療后都有所改善,而采用無(wú)創(chuàng)呼吸機(jī)治療的患者療效優(yōu)于只使用常規(guī)藥物治療的患者。
[Abstract]:Objective to investigate the value of noninvasive ventilator in elderly patients with chronic obstructive pulmonary disease (COPD) complicated with left heart failure. Methods 80 elderly patients with COPD complicated with left heart failure were randomly divided into two groups, 40 patients in each group. The patients in the control group were treated with conventional drugs. The patients in the observation group were treated with noninvasive ventilator plus conventional drugs. The heart rate (HR), blood pressure (BP), brain natriuretic peptide (BNP), was observed and recorded before treatment and 1.5 hours, 3 hours and 7 days after treatment. Respiratory frequency (RR) and dynamic blood gas analysis (PaCO2,PaO2,pH). Results the level of BNP,PaCO2 in both groups was higher than that before treatment (P 0.05), the level of PaO2 was lower than that before treatment (P 0.05), and the level of pH was higher than that before treatment. The PaCO2 of the patients in the observation group was lower than that in the control group at 1.5 h, 3 h and 7 d after treatment (P 0.05), while at 1.5 h after PaO2 and pH treatment, it was higher than that in the control group at 3 h and 7 d (P 0.05). BP,HR and RR in both groups were lower than those before treatment (P 0.05). BP,HR and RR at 3 h and 7 d in the observation group were significantly lower than those in the control group at 1.5 h after treatment (P 0.05). Conclusion HR,SBP,BNP,RR and dynamic blood gas analysis (PaCO2,PaO2,pH) in both groups are improved after treatment, and the curative effect of patients treated with noninvasive ventilator is better than that of patients treated with conventional drugs alone.
【作者單位】： 黔西南州人民醫(yī)院呼吸內(nèi)科;
【分類號(hào)】：R563.9

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