呼吸机波形监测对AECOPD患者无创通气的意义
徐进步;汪允珍;施青山;曹莉锋
【期刊名称】《徐州医学院学报》 【年(卷),期】2013(033)004
【摘要】Objective To investigate the effect of enhancing human - machine synchrony through monitoring venti -lator waveforms during noninvasive ventilation in the treatment of acute exarcebation of chronic obstructed pulmonary dis -ease (AECOPD). Methods 65 patients , diagnosed as AECOPD , were randomly assigned into treatment group and con -trol group. Both groups were treated with noninvasive ventilation and routine drug trerapy . The ventilator settings of the control group were only decided according to guideline , while in the treatment group , the ventilator waveforms were ob -served. According to which we made adjustment to the ventilator setting to enhance human - machine synchrony. The outcome taken into account included the blood gas anlysis , respitatory rate (RR) , ventilation time, and intubation rate. They were compared between the two groups . Results In comparison to the control group , the treatment group witnessed significantly quicker improvements in PaCO2, pH, better tolerance to ventilator , shorter duration of ventilation time (P < 0. 05) , but with no remarkable further improvements in RR and oxygenation index (PaO2/FiO2). The intubation rate was also not significantly
呼吸机波形监测对AECOPD患者无创通气的意义
