THE EFFECT OF INTERMITTENT NEGATIVE-PRESSURE VENTILATION AND LONG-TERM OXYGEN-THERAPY FOR PATIENTS WITH COPD - A 4-YEAR STUDY

被引:7
作者
CORRADO, A
DEPAOLA, E
MESSORI, A
BRUSCOLI, G
NUTINI, S
机构
[1] Unita di Terapia Intensiva Polmonare, 50134 Florence, Villa D' Ggnissanti
关键词
D O I
10.1378/chest.105.1.95
中图分类号
R4 [临床医学];
学科分类号
1002 [临床医学]; 100602 [中西医结合临床];
摘要
We evaluated retrospectively the effect of long-term oxygen therapy (LTOT) on the prognosis of 35 patients with chronic obstructive pulmonary disease (COPD) and chronic respiratory insufficiency (group A) who were admitted to our respiratory intensive care unit from 1984 to 1986 for acute respiratory failure (ARF). All subjects were given intermittent negative pressure ventilation (INPV) by means of an iron lung to overcome the acute episode and were treated with LTOT after discharge. Forty-four patients with COPD who were treated with the same ventilatory method to overcome an acute disease exacerbation and who were not given LTOT were used as controls (group B). Both groups were followed up for at least 48 months. All relapses of ARF were treated by iron lung in both groups A and B. The overall survival significantly better in group A than in group B (p=0.05 by F test) indicating that LTOT improves survival in patients with COPD after about of ARF treated with mechanical ventilation. Therefore, combining INPV with LTOT for overcoming acute episodes and relapses of ARF appears to improve the prognosis of patients, with COPD.
引用
收藏
页码:95 / 99
页数:5
相关论文
共 19 条
[1]
[Anonymous], 1981, LANCET, V1, P681
[2]
BRADLEY RD, 1964, LANCET, V1, P854
[3]
AN ANALYSIS OF SEQUENTIAL PHYSIOLOGICAL-CHANGES IN HYPOXIC COR-PULMONALE DURING LONG-TERM OXYGEN-THERAPY [J].
COOPER, CB ;
HOWARD, P .
CHEST, 1991, 100 (01) :76-80
[4]
12 YEAR CLINICAL-STUDY OF PATIENTS WITH HYPOXIC COR-PULMONALE GIVEN LONG-TERM DOMICILIARY OXYGEN-THERAPY [J].
COOPER, CB ;
WATERHOUSE, J ;
HOWARD, P .
THORAX, 1987, 42 (02) :105-110
[5]
IRON LUNG TREATMENT OF SUBJECTS WITH COPD IN ACUTE RESPIRATORY-FAILURE - EVALUATION OF SHORT-TERM AND LONG-TERM PROGNOSIS [J].
CORRADO, A ;
BRUSCOLI, G ;
MESSORI, A ;
GHEDINA, L ;
NUTINI, S ;
DEPAOLA, E ;
BACCINI, A .
CHEST, 1992, 101 (03) :692-696
[6]
COX DR, 1972, J R STAT SOC B, V34, P187
[7]
CLINICAL OUTCOME OF RESPIRATORY-FAILURE IN PATIENTS REQUIRING PROLONGED (GREATER-THAN 24 HOURS) MECHANICAL VENTILATION [J].
GILLESPIE, DJ ;
MARSH, HMM ;
DIVERTIE, MB ;
MEADOWS, JA .
CHEST, 1986, 90 (03) :364-369
[8]
JESSEN O, 1969, ANN INTERN MED, V70, P471
[9]
LANGE P, 1989, EUR RESPIR J, V2, P811
[10]
DETERMINANTS OF WEANING AND SURVIVAL AMONG PATIENTS WITH COPD WHO REQUIRE MECHANICAL VENTILATION FOR ACUTE RESPIRATORY-FAILURE [J].
MENZIES, R ;
GIBBONS, W ;
GOLDBERG, P .
CHEST, 1989, 95 (02) :398-405