序贯无创机械通气在稳定期重度copd患者肺康复治疗中的应用

《序贯无创机械通气在稳定期重度copd患者肺康复治疗中的应用》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。

1、序贯无创机械通气在稳定期重度COPD患者肺康复治疗中的应用［摘要］目的探究序贯无创机械通气对稳定期重度慢性阻塞性肺疾病患者肺康复的临床疗效。方法选取2011年11月〜2016年11月我院收治的80例稳定期重度COPD患者，按随机数字表法分为观察组40例和对照组40例，比较两组患者肺功能、血气分析指标和生活质量水平。结果治疗后观察组患者FEV1/FVC、PaO2、PaCO2、pH、RR水平均显著优于治疗前，且改善程度优于对照组，差异有统计学意义;治疗后观察组患者QOL评分、6MWD、Borg呼吸困难评分均显著优于治疗前，且改善程度优于对照组，差异有统计学意义。结论序贯无创机械通

2、气治疗联合肺康复治疗可以显著改善稳定期重度COPD患者肺功能和缺氧症状，调节机体酸碱平衡，提高患者生活质量水平和活动耐力，值得临床推广应用。［关键词］序贯无创机械通气；稳定期重度COPD患者;肺康复；治疗［中图分类号］R563.9［文献标识码］A［文章编号］1674-472105-0024-03Applicationofsequentialnon-invasivemechanicalventilationinpulmonaryrehabilitationofpatientswithstablesevereCOPDPENGYong-sheng1LAIYong-hui1ZHUQi

3、-cheng21.DepartmentofICU，theFirstPeople'sHospitalofNankangDistrictinJiangxiProvince，Ganzhou341400,China；2.DepartmentofRespiratory，theFirstPeople'sHospitalofNankangDistrictinJiangxiProvince，Ganzhou341400，China[Abstract]ObjectiveToinvestigatetheclinicaleffectofsequentialnon-invasivemechanical

4、ventilationinpulmonaryrehabilitationofpatientswithstablechronicobstructivepulmonarydisease.MethodsAtotalof80patientswithstablesevereCOPDtreatedinourhospitalfromNovember2011toNovember2016wererandomlydividedintotheobservationgroupandthecontrolgroup.Pulmonaryfunction,bloodgasanalysisindexesand

5、qualityoflifewerecomparedbetweenthetwogroups.ResultsAftertreatment，thelevelsofFEV1/FVC，PaO2，PaCO2，pHandRRintheobservationgroupweresignificantlybetterthanthosebeforetreatment，andtheimprovementwasbetterthanthatinthecontrolgroup•Aftertreatment,QOLscore，6MWDandBorgscoreintheobservationgroupwere

6、significantlybetterthanthosebeforetreatment，andtheimprovementwasbetterthanthatinthecontrolgroup.ConclusionSequentialnon-invasivemechanicalventilationcombinedwithpulmonaryrehabilitationtherapycansignificantlyimprovelungfunctioninpatientswithstablesevereCOPDandhypoxiasymptoms，regulatingacid-b

7、asebalance，improvethelifequalityofpatientsandenduranceactivities，andisworthyofpopularization.[Keywords]Sequentialnon-invasivemechanicalventilation；StablesevereCOPD；Pulmonaryrehabilitation；Treatment慢性阻塞性肺疾病是一今N常见的气流阻塞型呼吸系统疾病，主要临床表现为慢性咳嗽、气短、呼吸困难、胸闷等，病因尚不明确