[Combination of chest physiotherapy and intermittent non-invasive mechanical ventilation for chronic obstructive pulmonary disease patients with respiratory failure].
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.
Qu
Yunzhong
Y
Department of Respiratory Medicine, Second Xiangya Hospital, Central South University, Changsha 410011, China. zhong_yunqu@126.com
Peng
Hong
H
Chen
Ping
P
Xiang
Xudong
X
D003131:Combined Modality Therapy; D045422:Continuous Positive Airway Pressure / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D026741:Physical Therapy Modalities; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications* / Q000628:therapy; D012131:Respiratory Insufficiency / Q000209:etiology / Q000628:therapy*; D035441:Thoracic Wall