Clinical Study on Respiratory Medicine Treatment of Chronic Obstructive Pulmonary Disease Combined with Respiratory Failure
Download PDF

Keywords

Chronic obstructive pulmonary disease
Respiratory failure
Non-invasive positive pressure ventilation
Therapeutic effect
Inflammatory factor

DOI

10.26689/jcnr.v8i5.7358

Submitted : 2024-05-26
Accepted : 2024-06-10
Published : 2024-06-25

Abstract

Objective: To explore the respiratory medicine treatment methods for treating chronic obstructive pulmonary disease (COPD) combined with respiratory failure. Methods: 70 cases of COPD patients with combined respiratory failure admitted to our hospital from January 2021 to January 2023 were selected as the study subjects, and randomly divided into the control group and the experimental group, each with 35 cases. The control group received only conventional treatment, and the experimental group received non-invasive positive pressure ventilation, and the treatment effects and changes in the levels of IL-18, hs-CRP, and CES2 inflammatory factors were observed and evaluated in the two groups. Results: There was no significant difference between the general data of the two groups (P > 0.05); after treatment, the total effective rate of clinical efficacy of the observation group (91.43%) was significantly higher than that of the control group (71.43%), and the difference showed a significant correlation (P < 0.05); after treatment, the level of inflammatory factor of the observation group was significantly reduced compared with that of the control group, and the difference showed a highly significant correlation (P < 0.001). Conclusion: The non-invasive positive pressure ventilation treatment program significantly improves the therapeutic effect, effectively controls the level of inflammatory factors, and improves the health status of patients when dealing with patients with chronic obstructive pulmonary disease accompanied by respiratory failure, showing a good clinical application prospect.

References

Ge Y, 2019, Clinical Observation Study on Respiratory Medicine Treatment of Chronic Obstructive Pulmonary Disease Combined with Respiratory Failure. Electronic Journal of Cardiovascular Disease of Combined Chinese and Western Medicine, 7(36): 1 + 4.

Chen Y, 2022, Interpretation of the Key Points of the 2022 GOLD Global Strategy Update for the Diagnosis, Treatment, Management, and Prevention of Chronic Obstructive Pulmonary Disease. Chinese Family Medicine, 25(11): 1294–1304 + 1308.

Powezka K, Khan T, Narlawar R, et al., 2020, Ruptured Popliteal Artery Aneurysm Complicated with Acute Respiratory Distress Syndrome Secondary to SARS-CoV-2 Infection. Ann Vasc Surg, 66: 24–27. https://doi.org/10.1016/j.avsg.2020.05.012

Wang Y, Fu J, Jiang M, et al., 2022, Effectiveness of Mechanical Ventilation Combined with Naloxone in the Treatment of Chronic Obstructive Pulmonary Disease Combined with Acute Respiratory Failure and Its Impact on Prognosis. Hebei Medicine, 44(4): 557–559 + 563.

Lu M, Li L, 2020, Observation on Non-Invasive Ventilation Combined with Symbicort in Treating Acute Exacerbation of Chronic Obstructive Pulmonary Disease (COPD) Complicated with Type II Respiratory Failure in the Elderly. Journal of Clinical Military Medicine, 48(9): 1021–1023 + 1026.

Jin Y, Gao Y, He Y, et al., 2021, Application of a Symptom-Based COPD Screening Questionnaire for COPD Screening in a Community-Based Elderly Population. International Respiratory Journal, 41(10): 756–760.

Song W, Zhao Q, Cai B, et al., 2023, Study on the Efficacy of Yiqi Huoxue Huatan Decoction, Non-Invasive Bi-Level Positive Airway Pressure Ventilation Combined with Nalmefene in the Treatment of Elderly Chronic Obstructive Pulmonary Disease with Type II Respiratory Failure. Shaanxi Journal of Traditional Chinese Medicine, 44(4): 455–458.

Huang J, Bian Y, Zhao Y, et al., 2021, The Impact of Depression and Anxiety on Chronic Obstructive Pulmonary Disease Acute Exacerbations: A Prospective Cohort Study. J Affect Disord, 281(1): 147–152. https://doi.org/10.1016/j.jad.2020.12.030

Sun H, 2020, Clinical Treatment Analysis of Chronic Obstructive Pulmonary Disease Combined with Respiratory Failure. Continuing Medical Education, 34(9): 159–161.