Clinic application of BiPAP in stable COPD patients with typeⅡrespiratory failure

VernacularTitle:双水平无创正压通气用于慢性阻塞性肺疾病稳定期的临床研究
Author: Jianguo LIU ; Liqing AN ; Jingguang CHENG ; Jing LI ; Ruifang WU
Publication Type:Journal Article
Keywords: Pulmonary disease,chronic obstructive; Positive -pressure respiration; Ventilators,mechanical; Respiratory failure,typeⅡ
From: Chinese Journal of Primary Medicine and Pharmacy 2015;(13):1986-1988,1989
CountryChina
Language:Chinese
Abstract: Objective To evaluate the clinical efficacy of Bilevel non -invasive positive air pressure ventila-tion(BiPAP)in the treatment of stable COPD patients with typeⅡrespiratory failure.Methods 36 patients had stable COPD with typeⅡrespiratory failure was treated with BiPAP.And observed the changes of clinical symptoms and arte-rial blood gases before and after the treatment.Results The Blood gas index[(7.28 ±0.04)vs (7.37 ±0.06)], heart rate[(116 ±11)times/min vs (85 ±10)times/min],breath rate[(26 ±4)times/min,(17 ±3)times/min], frequence of hospitalization[(3.50 ±0.89)times vs (0.23 ±0.11)times],and hospital days[(22.3 ±8.8)d vs (11.4 ±4.6)d]significantly changed after treatment(all P <0.01),the symptoms,including the shortness of breath, and chest distress improved greatly,and also the exercise tolerance were much better than patients did before treatment.Conclusion BiPAP is an efficient treatment method,and valuable for stable COPD patients with type Ⅱrespiratory failure.