摘要
目的 探讨无创呼吸机ST模式和AVAPS模式在慢性阻塞性肺疾病急性加重伴Ⅱ型呼吸衰竭的治疗效果。方法 将2020年2月1日-2022年1月30日北京市房山区良乡医院收治的60例慢性阻塞性肺疾病急性加重伴Ⅱ型呼吸衰竭患者作为研究对象,将其随机分成ST模式组和AVAPS模式组,比较两组患者组间及组内治疗前和治疗后12h、24h、72h的血气分析指标(PH、PCO_(2)、PO_(2))、心率、呼吸频率、血氧饱和度,及72h治疗后出现的腹胀、人机对抗、胸闷等不良反应的发生情况。结果 两组患者在治疗后12h、24h、72h的PCO_(2)、PO_(2)与治疗前相比均有明显改善(P<0.05),且AVAPS模式组较ST模式组PCO_(2)降低更明显,PO_(2)升高较ST模式组更明显,两组患者在治疗12h、24h、72h的心率、呼吸频率均明显低于治疗前(P<0.05),血氧饱和度明显高于治疗前(P<0.05)。治疗72h后将腹胀、人机对抗、胸闷不良反应的三组数据结合来看,AVAPS模式组患者出现不良反应的比例明显低于ST模式组,且具有统计学意义(P<0.05)。结论 无创呼吸机AVAPS模式在治疗慢性阻塞性肺疾病急性加重伴Ⅱ型呼吸衰竭的效果优于ST模式,患者的不良反应更少,治疗效果更佳。
Objective To investigate effect of noninvasive ventilator ST mode and AVAPS mode in treatment of acute exacerbation of chronic obstructive pulmonary disease with typeⅡrespiratory failure.Methods The paper chose 60 patients with acute exacerbation of chronic obstructive pulmonary disease and typeⅡrespiratory failure admitted to Beijing Fangshan District Liangxiang Hospital from February 1,2020 to January 30,2022,and divided them into ST mode group and AVAPS mode group randomly.Blood gas analysis indicators(PH,PCO_(2),PO_(2)),heart rate,respiratory rate,and blood oxygen saturation were compared between and within two groups before and 12,24,and 72 hours after treatment,adverse reactions incidence of abdominal distension,man-machine confrontation,and chest tightness after 72 hours of treatment was compared.Results PCO_(2) and PO_(2) levels in two groups were significantly better than before treatment at 12,24,72 hours after treatment(P<0.05),those fo AVAPS mode group were lower than ST mode group,PO_(2) increase was more obvious than ST group,heart rate and respiratory rate of two groups at 12,24,and 72 hours of treatment was significantly lower than before treatment(P<0.05),blood oxygen saturation was significantly higher than before treatment(P<0.05).After 72 hours of treatment,combining data of abdominal distension,man-machine confrontation,and chest distress,adverse reactions incidence of AVAPS mode group were significantly lower than ST mode group,with statistical significance(P<0.05).Conclusion Non invasive ventilator AVAPS mode can achieve better effect than ST mode in treatment of acute exacerbation of chronic obstructive pulmonary disease with typeⅡrespiratory failure,with fewer adverse reactions and better curative effect.
作者
张磊
安梦桥
ZHANG Lei;AN Mengqiao(Fangshan District Liangxiang Hospital,Beijing 102401)
出处
《智慧健康》
2023年第5期175-178,200,共5页
Smart Healthcare
关键词
无创呼吸机
ST模式
AVAPS模式
慢性阻塞性肺疾病急性加重伴Ⅱ型呼吸衰竭
Non invasive ventilator
ST mode
AVAPS mode
Acute exacerbation of chronic obstructive pulmonary disease with typeⅡrespiratory failure
