王晓磊

摘要：目的 探讨低强度神经肌肉康复联合无创通气治疗慢性阻塞性肺疾病（COPD）合并Ⅱ型呼吸衰竭的疗效。方法 将60例于2020年3月-2021年3月收治的COPD合并Ⅱ型呼吸衰竭患者纳入研究，并以等量电脑随机法均分成AB两组。予两组均展开无创通气治疗，B组添加低强度神经肌肉康复治疗，并对比疗效。结果 B组血气及肺功能指标改善情况均优于A组，临床疗效高于A组，对比存在统计学意义（P〈0.05）。结论 低强度神经肌肉康复联合无创通气治疗COPD合并Ⅱ型呼吸衰竭的疗效确切，可显著改善患者血气指标，并提升肺功能，值得被推广应用。

关键词：低强度神经肌肉康复治疗;无创通气治疗;慢性阻塞性肺疾病;Ⅱ型呼吸衰竭

[Abstract]Objective To investigate the efficacy of low intensity neuromuscular rehabilitation combined with noninvasive ventilation in the treatment of chronic obstructive pulmonary disease（COPD）complicated with type II respiratory failure. Methods 60 patients with COPD complicated with type II respiratory failure from March 2020 to March 2021 were included in the study，and they were randomly divided into AB group and ab group. Both groups were given noninvasive ventilation treatment，and group B was given low-intensity neuromuscular rehabilitation treatment. Results the improvement of blood gas and lung function indexes in group B was better than that in group A，and the clinical efficacy was higher than that in group A，with statistical significance（P ﹤ 0. 05）. Conclusion low intensity neuromuscular rehabilitation combined with noninvasive ventilation is effective in the treatment of COPD complicated with type II respiratory failure，which can significantly improve the blood gas index and lung function of patients，and is worthy of promotion and application.

[Key words]low intensity neuromuscular rehabilitation therapy;Noninvasive ventilation treatment;Chronic obstructive pulmonary disease;Type II respiratory failure

呼吸衰竭是由于各种原因导致的呼吸功能衰竭，引起严重的缺氧，从而引起一系列的病理改变【1】。Ⅱ型呼吸衰竭其血氣分析的特点是二氧化碳分压〉50mmHg，伴或不伴有氧分压〈60mmHg。而据流行病学统计数据显示【2】，呼吸衰竭是COPD的主要并发症，若患者为单纯的COPD通过规范的治疗和护理，大部分患者能够达到和正常人同样的生存周期。但是一旦合并Ⅱ型呼吸衰竭那么就会增加治疗难度，同时也会影响预后质量【3】。而本次纳入研究COPD合并Ⅱ型呼吸衰竭患者60例，并于2020年3月-2021年3月开展医学研究，着重分析低强度神经肌肉康复与无创通气的联合疗效。现将详细内容进行如下报告：

1 资料和方法

1.1一般资料

经院内伦理委员会批准，将60例于2020年3月-2021年3月收治的COPD合并Ⅱ型呼吸衰竭患者纳入研究，并以等量电脑随机法均分成AB两组，且均签署知情文件。……