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  • Title: [Combination of chest physiotherapy and intermittent non-invasive mechanical ventilation for chronic obstructive pulmonary disease patients with respiratory failure].
    Author: Qu Y, Peng H, Chen P, Xiang X.
    Journal: Zhong Nan Da Xue Xue Bao Yi Xue Ban; 2009 Jul; 34(7):655-8. PubMed ID: 19648681.
    Abstract:
    OBJECTIVE: To determine the effect of combination of chest physiotherapy (CPT) and intermittent non-invasive ventilation for chronic obstructive pulmonary disease (COPD) patients with respiratory failure. METHODS: Ninety COPD patients with intermittent bi-level positive airway pressure (BiPAP) ventilation were randomly divided into 2 groups: control group (n=45) received BiPAP treatment after conventional anti-infection, phlegm treatment and support treatment; CPT group (n=45) received CPT before BiPAP treatment. Clinical symptoms, chest signs,chest X-ray,time of BiPAP therapy, PaO2, and PaCO ) after the treatment were evaluated. RESULTS: Compared with with the control group, patients in the CPT group significantly improved in clinical symptoms, chest signs, chest X-ray absorption as well as shorter BiPAP therapy time, PaO2 increase and PaCO2 decrease(P<0.05).Conclusion For COPD patients who need intermittent non-invasive BiPAP ventilation, receiving CPT can effectively improve the therapeutic effect.CPT and intermittent non invasive BiPAP ventilation cooperate in the treatment of COPD patients with respiratory failure.
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