摘要
目的总结双水平气道正压（BiPAP）鼻（面）罩无创通气临床应用情况。方法采用回顾性分析法。结果共治疗了145例病人，其中稳定期慢阻肺病人88倒（61％）；慢性肺源性心脏病并呼吸衰竭病人42例（29％）；胸外科手术后病人8例（6％）；脑血管意外病人4例（2％）；气管插管机械通气后病人3例（2％）；坚持治疗1周以上的病人共92例，占63％，其中81例（88％）治疗后气促改善，且各类病人之间气促改善程度无差异。治疗少于1周的病人有53例，占36％。病人不耐受的原因主要为自觉治疗后气促无改善（45．2％）和难耐受机器气流和鼻（面）罩（41．5％）。结论BiPAP鼻（面）罩通气可被大部份病人接受，治疗有效率为88％；另一些病人不能耐受该治疗，原因以自觉气促无改善和不能耐受机器气流和鼻（面）罩为主。
Objective To sum up the rehabilitational effect of non-invasive ventilation via nasal (facial)mask bilevel positive airway pressure(BiPAP). Methods By retrospective analysis .Results Non-invasive ventilation was used by stabl COPD patints (61% ),chronic cor pulmonale with respiratory failure(29% ), patients having received surgicaloperation (6% ), Patints having treated by endotracheal mechanical ventilation (2% ), and patients withe cerebrovascular ac-ciden (2%). 92(63% ) patients can tolerate BiPAP system more than one week. Dyspnea measured by Mahler's methodwas relieved in 81 patients (88% ). There was no significantly difference among five kinds of patients. 53(36%) patients cannot tolerate BiPAP system more than one week . The reason why they refused to receiveBiPAP mainly as follows: ①they feltthat their dyspnea was no relieved (45. 2% ); ②they can no tolerate the airflow of the BiPAP system and the nasal(facial)mask(41. 5% ). Conclusion As one of the rehabilitational method , non - invasive ventilation by nasal (facial)BiPAP systom can be accepted by most patients and its efficiency of relieving dyspna was 88%. Other Paients failed to recethe it main-ly because they felt it no help and intolerated the airflow of the system ana the meal(facial) mask.
出处
《广东医学》
CAS
CSCD
1999年第1期17-18,共2页
Guangdong Medical Journal
关键词
无创通气
慢性
阻塞性肺疾病
BIPAP
Non-invasive ventilation Rehabilitation Chronic obstructive pulmonary disease
