期刊论文

Study on risk factors for noninvasive positive pressure ventilation in the treatment of acute exacerbation of chronic obstructive pulmonary disease

中文

中国实用医药

1673-7555

2018

13

32

13-16

10.14163/j.cnki.11-5547/r.2018.32.006

本校为第一机构

目的 探讨无创正压通气(NPPV)治疗慢性阻塞性肺疾病急性加重(AECOPD)失败的危险因素.方法 162例接受无创正压通气治疗的慢性阻塞性肺疾病急性加重患者,根据无创正压通气治疗结果分为成功组(127例)与失败组(35例).比较两组入院时年龄;入院时和无创正压通气治疗1 h及3 h后生命体征:呼吸频率(RR)、心率(HR),动脉血气[pH值、动脉血氧分压(PaO2)、动脉血二氧化碳分压(PaCO2)、氧合指数(PaO2/FiO2)]指标.结果 162例患者中有127例成功(78.4％),男:女=96:31;5例失败(21.6％),男:女=29:6;两组患者性别比较,差异无统计学意义(P>0.05).治疗1、3 h后,成功组RR、HR均低于失败组,差异均具有统计学意义(P

Objective To investigate the risk factors of failure for noninvasive positive pressure ventilation（NPPV） in the treatment of acute exacerbation of chronic obstructive pulmonary disease（AECOPD）. Methods A total of 162 patients with acute exacerbation of chronic obstructive pulmonary disease treated by noninvasive positive pressure ventilation were divided by results of noninvasive positive pressure ventilation into success group（127 cases） and failure group（35 cases）. Comparison were made on age, smoking status, gender, body mass index（...