Combination of chest physiotherapy and intermittent non-invasive mechanical ventilation for chronic obstructive pulmonary disease patients with respiratory failure
- VernacularTitle:胸部物理治疗联合间歇无创机械通气在慢性阻塞性肺疾病呼吸衰竭患者中的应用
- Author:
Yunzhong QU
;
Hong PENG
;
Ping CHEN
;
Xudong XIANG
- Publication Type:Journal Article
- Keywords:
chest physiotherapy;
intermittent non-invasive ventilation;
chronic obstructive pulmonary disease
- From:
Journal of Central South University(Medical Sciences)
2009;34(7):655-658
- CountryChina
- Language:Chinese
-
Abstract:
Objective To determine the effect of combination of chest physiotherapy (CPT) and intermittent non-invasive ventilation for chronic obstructive pulmonary disease (COPD) patients with respiratory failure. Methods Ninety COPD patients with intermittent bi-level positive airway pressure (BiPAP) ventilation were randomly divided into 2 groups : control group (n=45) received BiPAP treatment after conventional anti-infection, phlegm treatment and support treatment; CPT group (n=45) received CPT before BiPAP treatment. Clinical symptoms, chest signs, chest X-ray, time of BiPAP therapy, PaO2, and PaCO2 after the treatment were evaluated. Results Compared with with the control group, patients in the CPT group significantly improved in clinical symptoms, chest signs, chest X-ray absorption as well as shorter BiPAP therapy time, PaO2 increase and PaCO2 decrease(P<0.05). Conclusion For COPD patients who need intermittent non-invasive BiPAP ventilation, receiving CPT can effectively improve the therapeutic effect. CPT and intermittent non in-vasive BiPAP ventilation cooperate in the treatment of COPD patients with respirstory failure.
