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慢性阻塞性肺疾病患者间歇性正压呼吸(IPPB)的家庭治疗(作者译)

[The home treatment of patients with chronic obstructive lung disease with intermittent positive pressure breathing (IPPB) (author's transl)].

作者信息

Stauder J, Hertle F H, Quarz W

出版信息

Z Erkr Atmungsorgane. 1981;157(3):256-61.

PMID:6803452
Abstract

The inhalation therapy assisted by IPPB has been well established as the standard programme of intensive care units for many years. The use of inhalation by assisted ventilation at home is difficult because 4-6 applications daily are necessary to reach a suitable effect. This form of treatment has to perform at patient's home and an apparatus has to put ready for these patients. Our investigations pursued the aim to prove the effectiveness by means of objective parameters. The home treatment was carried on 32 patients with respiratory insufficiency over a period of and average of 51 months. This group was controlled after 2 years. Lung function tests and blood gas analysis showed a tiny but not significant deterioration. We were able to demonstrate that the hospitalization rate can be lowered, the bronchitis symptoms and respiratory decompensation reduced, and well-being significantly improved. This results have led to the conclusion that this treatment obviously influence the follow-up of the respiratory insufficiency.

摘要

多年来,IPPB辅助的吸入疗法一直是重症监护病房的标准治疗方案。在家中使用辅助通气进行吸入治疗很困难,因为每天需要进行4至6次才能达到合适的效果。这种治疗形式必须在患者家中进行,并且必须为这些患者准备好设备。我们的研究旨在通过客观参数证明其有效性。对32例呼吸功能不全患者进行了平均51个月的家庭治疗。该组在2年后进行了对照。肺功能测试和血气分析显示有轻微但不显著的恶化。我们能够证明住院率可以降低,支气管炎症状和呼吸失代偿减轻,幸福感显著提高。这些结果得出的结论是,这种治疗显然会影响呼吸功能不全的后续情况。

相似文献

1
[The home treatment of patients with chronic obstructive lung disease with intermittent positive pressure breathing (IPPB) (author's transl)].慢性阻塞性肺疾病患者间歇性正压呼吸(IPPB)的家庭治疗(作者译)
Z Erkr Atmungsorgane. 1981;157(3):256-61.
2
[Use of home mechanical ventilation in patients with high grade chronic obstructive lung disease (COPD)].[家庭机械通气在重度慢性阻塞性肺疾病(COPD)患者中的应用]
Pneumologie. 1999 Oct;53 Suppl 2:S103-6.
3
[Oxygen therapy vs. intermittent positive pressure respiration in the long-term treatment of chronic obstructive pulmonary disease (author's transl)].
Prax Klin Pneumol. 1981 Nov;35(11):528-31.
4
[The course of treated chronic obstructive lung disease].[经治疗的慢性阻塞性肺疾病的病程]
Schweiz Med Wochenschr. 1980 Feb 9;110(6):232-6.
5
[Intermittent positive pressure breathing (IPPB) with respirators in home nursing].家庭护理中使用呼吸器进行间歇性正压通气(IPPB)
Schweiz Med Wochenschr. 1977 Sep 10;107(36):1254-7.
6
[Long-term results of intermittent ventilatory assistance for 74 severe obstructive chronic respiratory insufficient patients (PaCO2 greater than 50 Torr) ventilated for more than a year (author's transl)].74例严重阻塞性慢性呼吸功能不全患者(动脉血二氧化碳分压大于50托)接受间歇通气支持一年以上的长期结果(作者译)
Rev Fr Mal Respir. 1979 Jul-Aug;7(4):421-3.
7
Long-term oxygen therapy vs. IPPB therapy in patients with COLD and respiratory insufficiency: survival and pulmonary hemodynamics.
Eur J Respir Dis Suppl. 1986;146:409-15.
8
[Prophylactic and therapeutic intermittent positive pressure breathing with combined therapeutic aerosols (IPPB/I)--functional and morphological effects. I. Functional effects of prophylactic IPPB/I (author's transl)].[联合治疗气雾剂的预防性和治疗性间歇性正压呼吸(IPPB/I)——功能和形态学效应。I. 预防性IPPB/I的功能效应(作者译)]
Z Erkr Atmungsorgane. 1981;156(2):141-50.
9
[Intermittent self-ventilation in neuromuscular diseases. Comparison of lung function parameters in ventilated and non-ventilated patients].[神经肌肉疾病中的间歇性自主通气。通气和未通气患者肺功能参数的比较]
Med Klin (Munich). 1996 Apr 12;91 Suppl 2:42-4.
10
[Oral intermittent positive pressure ventilation in the treatment of severe chronic respiratory insufficiency in subjects with chronic obstructive bronchopneumopathy].[经口间歇性正压通气治疗慢性阻塞性支气管肺炎患者的严重慢性呼吸功能不全]
Agressologie. 1985 Sep;26(8):651-5.