禇岩北京市朝阳区双桥医院内科，北京　100121

慢性阻塞性肺疾病合并呼吸衰竭的临床治疗方法研究

禇岩
北京市朝阳区双桥医院内科，北京100121

目的探讨慢性阻塞性肺疾病合并呼吸衰竭的治疗方法与效果。方法 选择我科2014年11月～2016年2月接收的58例慢性阻塞性肺疾病合并呼吸衰竭患者，以数字抽签法原理为依据将其分为甲、乙两组，每组29例。两组均行基础治疗，甲组同时加用雾化吸入疗法。观察两组基础生命体征变化，比较住院时间与血气分析等指标。结果甲组的住院时间为（10.57±3.28）d，乙组为（14.96±3.51）d。甲组明显短于乙组，差异具有统计学意义（P＜0.05）。甲组治疗后的心率为（25±4）次/min、呼吸频率为（77±6）次/min，乙组分别为（21±3）次/min、（86± 7）次/min。甲组明显优于乙组，差异具有统计学意义（P＜0.05）。甲组血气分析指标和总有效率明显优于乙组，差异有统计学意义（P＜0.05）。结论雾化吸入疗法用于慢性阻塞性肺疾病合并呼吸衰竭中，效果好，操作简便，且能缩短患者病情恢复的时间。

雾化吸入；慢性阻塞性肺疾病；血气分析；呼吸衰竭

［Abstract］Objective To analyze the treatment options for chronic obstructive pulmonary disease（COPD）combined with respiratory failure and their effects.M ethods 58 patients with COPD combined with respiratory failure treated in our department from November 2014 to February 2016 were selected and divided by lottery into group A and group B，each with 29 cases.Patients in both groupswere given basic treatment，and those in group A were additionally given aerosol inhalation.The changes of basic vital signs in both groups were observed，and indicators including hospital stay and blood gas analyses were compared between two groups.Results The hospital stay was（10.57±3.28）d in group A，and （14.96±3.51）d in group B，which was significantly shorter in group A（P＜0.05）.After treatment，the heart rate was（25± 4）times/min in group A，and（21±3）times/min in group B；and the respiratory rate was（77±6）times/min in group A，and （86±7）times/min in group B，which were significantly better in group A than in group B（P＜0.05）.The indicators of blood gas analysis and overall response rate in group A were superior to those in group B（P＜0.05）.Conclusion Aerosol inhalation shows favorable effect in treatment of COPD combined with respiratory failure，which is also easy to operate and can shorten the recovery time of patients.

［Key words］Aerosol inhalation；Efficacy；Chronic obstructive pulmonary disease；Blood gas analysis；Respiratory failure

临床上，慢性阻塞性肺疾病具有病情进展缓慢以及高病死率等特点，可对患者的正常生活造成较大的影响。因多数患者在发病后伴有呼吸衰竭症状，临床表现为喘息胸闷、气短以及呼吸困难等，若不及时治疗，将会加重病情，危及性命。目前，雾化吸入疗法作为一种临床上比较常见的治疗手段，可起到消炎平喘以及改善通气等作用。本文着重探讨慢性阻塞性肺疾病合并呼吸衰竭采用雾化吸入疗法的疗效，供临床借鉴。……