双水平气道正压通气治疗肺尘埃沉着病并肺心病的短期效果

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摘要目的探讨双水平气道正压通气（BiPAP）治疗肺尘埃沉着病并肺心病的短期效果。方法选取2019年7月～2020年3月萍乡市莲花县人民医院收治的60例肺尘埃沉着病并肺心病患者作为研究对象，按照随机数字表法分为观察组（30例）与对照组（30例）。对照组采用环磷腺苷葡胺治疗，观察组在对照组常规治疗的基础上实施BiPAP。比较两组的总有效率及临床指标。结果观察组治疗总有效率高于对照组，差异有统计学意义（P＜0.05）。治疗后，观察组氧合指数高于对照组，下肢水肿程度、动脉血二氧化碳分压低于对照组，观察组住院时间短于对照组，差异有统计学意义（P＜0.05）。结论 BiPAP 治疗肺尘埃沉着病并肺心病的短期疗效显著，可改善患者症状及心肺功能，值得推广。

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	张翊欣
	吴正义
	贾金虎

关键词 ：双水平气道正压通气, 肺尘埃沉着病, 肺源性心脏病, 环磷腺苷葡胺

Abstract：Objective To explore the short-term effect of bi-level positive airway pressure (BiPAP) in the treatment of pneumoconiosis with pulmonary heart disease.Methods A total of 60 patients with pneumoconiosis and pulmonary heart disease who were admitted to Lianhua County People′s Hospital from July 2019 to March 2020 were selected as the research objects,and they were divided into the observation group (30 cases) and the control group (30 cases) according to the random number table method.The control group was treated with meglumine cyclic adenosine monophosphate,and the observation group was given BiPAP on the basis of conventional treatment in the control group.The total effective rate and clinical indicators of the two groups were compared.Results The total effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant (P＜0.05).After treatment,the oxygenation index of the observation group was higher than that of the control group,the degree of lower limb edema and the content of arterial blood carbon dioxide were lower than that of the control group,and the hospitalization time of the observation group was shorter than that of the control group,the differences were statistically significant (P＜0.05).Conclusion BiPAP has a significant short-term effect in the treatment of pneumoconiosis with pulmonary heart disease,which can improve the symptoms and heart and lung functions of patients and is worthy of promotion.

Key words： Bi-level positive airway pressure Pneumoconiosis Pulmonary heart disease Meglumine Cyclic Adenosine

基金资助:江西省萍乡市科技计划项目（萍科字[2019]15号2019PY117）

引用本文:

张翊欣;吴正义; 贾金虎. 双水平气道正压通气治疗肺尘埃沉着病并肺心病的短期效果[J]. 中国当代医药, 2021, 28(6): 48-50.
ZHANG Yi-xin;WU Zheng-yi; JIA Jin-hu. Short-term effect of bi-level positive airway pressure in the treatment of pneumoconiosis with pulmonary heart disease. 中国当代医药, 2021, 28(6): 48-50.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2021/V28/I6/48

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