慢性阻塞性肺疾病患者呼吸功能锻炼联合使用无创呼吸机的疗效观察
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[摘要] 目的：探讨无创呼吸机联合呼吸功能锻炼对于慢性阻塞性肺疾病患者呼吸功能的临床疗效。方法：两组患者均常规给予抗感染、平喘祛痰、吸氧、纠正水电解质紊乱等综合治疗，并给予无创正压通气治疗；研究组患者在此基础上联合呼吸功能的锻炼。结果：治疗前、治疗后2 h，两组患者同时段血气值变化差异无统计学意义(P>0.05)；治疗后7 d，研究组患者pH、PaO2值均明显高于对照组，PaCO2值明显低于对照组，数据经统计学分析差异有统计学意义(P<0.05)。结论：呼吸功能锻炼联合使用无创呼吸机对于临床治疗慢性阻塞性肺疾病患者具有非常好的临床疗效，能够更大限度的提高治疗效果、加快康复速度，适合于临床采用。
[关键词] 慢性阻塞性肺疾病；呼吸功能锻炼；无创呼吸机；联合
[中图分类号] R563 [文献标识码]A[文章编号]1674-4721(2011)07(c)-045-02
Chronic obstructive pulmonary disease patients with respiratory function exercise non-invasive ventilation combined with efficacy
LI Yuanhang
Emergency Department of Shekou People′s Hospital, Guangdong Province, Shenzhen 518067, China
[Abstract] Objective: To discuss the clinical effects of respiratory exercises combined with non-invasive ventilator in patients of chronic obstructive pulmonary disease. Methods: The patients of two groups were routinely treated by antibiotics, asthma expectorant, oxygen, correcting water and electrolyte disturbance, and non-invasive positive pressure ventilation. The patients in study group were treated with respiratory exercises together based on the methods of control group. Results: The changes in blood gas values had no significantly differences between study group and control group before and after non-invasive positive pressure ventilation 2 h (P>0.05). After treatment 7 days, pH, PaO2 of study group were significantly higher than control group and PaCO2 of study group were significantly lower than control group (P<0.05). Conclusion: It has a good effects of respiratory exercises combined with non-invasive ventilator in patients of chronic obstructive pulmonary disease. It can improve the therapeutic effect and accelerate the recovery rate.
[Key words] Chronic obstructive pulmonary disease; Respiratory exercises; Non-invasive ventilator; Joint
慢性阻塞性肺疾病(chronic obstructive pulmonary disease，COPD)是因气流阻塞、气道不畅引起的严重呼吸道系统疾病，严重者可能合并呼吸衰竭导致死亡[1]。目前较多医院临床使用无创呼吸机进行COPD的一线治疗工具，疗效可靠。呼吸机在维持患者生命体征的同时，也在积极的对患者的呼吸功能进行改善与锻炼，为了提高这种改善能力，笔者选取本院2008年8月～2009年8月使用无创呼吸机的慢性阻塞性肺疾病患者联合使用呼吸功能锻炼，来通过实践检验联合疗法的临床疗效。报道如下：
1 资料与方法
1.1 一般资料
入选患者共56例，均为重度2型呼吸衰竭患者，男性36例 ......
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