氦氧混合气体对慢阻肺急性加重期临床诊治分析

2016-01-20刘相海

中国继续医学教育 2015年24期

关键词：疗效

刘相海

氦氧混合气体对慢阻肺急性加重期临床诊治分析

刘相海

【摘要】目的探究氦氧混合气体对慢阻肺急性加重期的治疗效果。方法随机选取2013年3月～2015年3月本院接诊的56例慢阻肺急性加重期患者作为研究对象，随机分组对照组及观察组各28例；对照组进行临床常规诊疗，观察组则在此基础上采取氦氧混合气体吸入治疗。结果两组患者在有创机械通气使用率、机械通气使用时间、住院时间等指标的对比结果具有明显差异，观察组均优于对照组（P＜0.05）。结论在常规治疗的基础上对慢阻肺急性加重期患者进行氦氧混合气体吸入治疗可有效降低有创机械通气的使用率以及使用时间，同时也可缩短住院治疗时间，提高患者的康复速度。

【关键词】氦氧混合气体；慢阻肺急性加重期；疗效

作者单位：130021长春，吉林省人民医院

Diagnosis and Treatment of Acute Exacerbation of Chronic Obstructive Pulmonary Disease With Helium Oxygen Mixture

LIU Xianghai, Jilin Province People's Hospital, Changchun 130021, China

[Abstract]Objective To explore the effect of helium oxygen mixture on the treatment of acute exacerbation of chronic obstructive pulmonary disease. Methods 56 patients with chronic obstructive pulmonary disease acute exacerbation patients were chosen in March 2013 ~ March 2015 in the hospital as the object of study were randomly divided into control group and observation group of 28 cases, control group routine clinical diagnosis and treatment, observation group on the basis of taking helium oxygen mixture inhalation therapy. Results Two groups of patients in invasive mechanical ventilation using rate, mechanical ventilation use time, hospitalization time and other indicators of comparative results have significant difference, the observation group were significantly better than the control group(P < 0.05). Conclusion On the basis of conventional treatment of COPD acute exacerbation patients of helium oxygen mixture inhalation therapy can effectively reduce the invasive mechanical ventilation rate and the use of time and shorten the length of treatment time and improve the recovery rate of patients.

[Key words]Helium oxygen mixture gas, Slow stop pulmonary acute exacerbation, Curative effect

临床治疗慢性阻塞性肺疾病急性加重期患者多采用抗感染、使用支气管扩张剂、持续低流量氧疗等临床常规治疗方法，若患者出现呼吸衰竭症状则需进行机械通气。机械通气属于有创性治疗，故较易导致患者出现肺部感染症状[1]。近年来相关研究结果显示氦氧混合气体吸入治疗可有效降低有创机械通气的使用频率，促进患者康复[1]。本次研究随机选取2013年3月～2015年3月本院接诊的56例慢阻肺急性加重期患者作为研究对象，探究氦氧混合气体对慢阻肺急性加重期的治疗效果，现报道如下。