经鼻高流量湿化氧疗与无创正压通气在COPD急性加重期伴Ⅱ型呼吸衰竭患者中的治疗效果

打开文本图片集

键词：经鼻高流量湿化氧疗；无创正压通气；慢性阻塞性肺疾病；I型呼吸衰竭

中图分类号：R563文献标识码：A

DOI:10.3969/j.issn.1006-1959.2025.16.012 文章编号：1006-1959(2025)16-0066-04

Therapeutic Effectof HighFlow Humidified Nasal Therapyand Non-invasivePositive Pressure Ventilation inPatientswith Acute ExacerbationofCOPDwith Type I Respiratory Failure

Zufeiya ⋅ Nuermaimaiti

(DepartmentofsparghhedospalfgalUsityia

Abstract:ObeieTateefgomddala(Hdasiveoivepreuevtl inpatientswituteeacebtioofCOwittyeIspatoryflureMetdsAotalof6OpatitsitcuteexacebatioofCOih typeIrespiratoryalueadmiedtoourospitalfromJuary23toJuary24wereseleedstesudysuectsAcoingtoheado numbertablemethod,theyweredividedintoHFHNTgroupandNPPVgoup,with3Opatientsineachgroup.TheHFHNTgroupwastreatedith nasalhigh-flowuidifooyentrandtheopastreateditoasieositiveprsuretlatioelods indexes,MWdalleutis (SRI)] were compared between the two groups.ResultsAfter treatment,pH,PaC 12⋅ PaO/FiO2 and 6MWT in the two groups were higher than those before treatment, PaCO2 and HCO ∣3∘∣ werelower than those before treatment,and thediffrences were statisticallysignificant(P2 in HFHNT group was lower than that in NIPPV group,while PaO2 was higher than that in NIPPV group,and the diffrence were statistically significant( P 0.05).Conclusion Both HFHNTand NIPPV have a good therapeutic effect in patients with AECOPD combined with type II respiratory failure,but HFHNT is more comfortable.

Keywords：Highfowhumidiednasalterap；Novasivepositivepresureentiltion；Choicotructiepmoarydisease respiratory failure

慢性阻塞性肺疾病（chronic obstructive pul-monarydisease,COPD)是一种具有气流阻塞特征的慢性支气管炎和(或)肺气肿，以持续气流受限并可进一步发展为肺心病和呼吸衰竭的常见慢性呼吸系统疾病。（剩余8373字）