慢性阻塞性肺疾病合并呼吸衰竭臨床分析

[摘要]目的 分析慢性阻塞性肺疾病合并呼吸衰竭在臨床上的治療效果。 方法 選取我院2010年1月～2012年12月收治的80例慢性阻塞性肺疾病合并呼吸衰竭患者的臨床資料，分為治療組和對照組，在標準治療基礎上治療組40例采用霧化吸入莫西沙星溶液治療，對照組40例采用霧化吸入沙丁胺醇治療。 結果 治療組患者治療后的用力肺活（FVC），1 s用力呼氣量（FEV）和最大呼氣流速（PEF）水平均明顯高于對照組；治療組的治療情況比觀察組的治療情況要顯著提高，治療組的治愈率為32.50%、有效率為50.00%、無效率為17.50%、總有效率為82.50%，對照組的治愈率為27.50%、有效率為42.50%、無效率為30.00%、總有效率為70.00%，治療組的總有效率明顯高于對照組。 結論 莫西沙星在改善慢性阻塞性肺病合并呼吸衰竭患者病情方面具有顯著作用。

[關鍵詞]慢性阻塞性肺疾病；呼吸衰竭

[中圖分類號] R563.9；563.8 [文獻標識碼] B [文章編號] 2095-0616（2013）13-177-02

Clinical analysis on the treatment of chronic obstructive pulmonary disease combined with respiratory failure

JIANG Chuanjie

Department of Internal Medicine，Daoqing Hospital of Tonghua Mining Group，Baishan 134309，China

[Abstract] Objective To analyze the clinical effect of chronic obstructive pulmonary disease with respiratory failure in clinical diagnosis and the therapeutic effect analysis. Methods The clinical data of 80 cases of patients with chronic obstructive pulmonary disease and respiratory failure in our hospital during the period of January 2010 to December 2012 were objected and studied，and the clinical diagnosis and treatment were reviewed.All patientswere divided into treatment group and control group，on the basis of conventional therapy，the treatment group of 40 cases were given inhalation of moxifloxacin solution treatment，the control group of 40 patients were given salbutamol atomization inhalation. Results The patients in the treatment group after treatment （FVC），forced lung biopsy 1 s forced expiratory volume （FEV） and peak expiratory flow （PEF） levels were significantly higher than those in the control group；treatment group was higher than that of treatment to the observation group，the cure rate in treatment group was 32.50%，efficiency of 50%，no efficiency was 17.50%，the total effective rate was 82.50%.In the control group，the cure rate was 27.50%，effective rate was 42.50%，no efficiency was 30.00%，the total effective rate was 70.00%，the total effective rate in treatment group than in the control group were significantly higher. Conclusion Timely diagnosis and treatment has a significant role in improving the condition of patients with chronic obstructive pulmonary disease with respiratory failure patients and clinicians，should cause the attention.

[Key words] Chronic obstructive pulmonary disease；Respiratory failure

慢性阻塞性肺疾病在臨床上是一種可以預防和治療的常見疾病[1]，但隨著疾病病情的發展，會在一定程度上導致患者的肺功能減弱，引發呼吸衰竭等癥狀，造成患者的死亡[2]。因此慢性阻塞性肺疾病合并呼吸衰竭在臨床上的及時診斷以及治療顯得十分重要，為此，選取我院2010年1月～2012年12月收治的80例慢性阻塞性肺疾病合并呼吸衰竭患者的臨床資料，通過對其臨床診斷以及治療效果進行回顧性分析取得了良好的效果，現將臨床經驗總結報道如下。

1 資料與方法

1.1 一般資料

選取我院2010年1月～2012年12月收治的80例慢性阻塞性肺疾病合并呼吸衰竭患者作為研究對象，對其臨床診斷以及治療效果進行回顧性分析。……