关键词: 无创正压通气, 胸部外科手术, 老年

Abstract: ［Abstract］ Objective To summarize the clinical experience of noninvasive positive pressure ventilation in elderly patients after thoracic surgery. Methods The clinical data of 30 elderly patients undergoing thoracic surgery from January 2015 to February 2017 were selected. Among them， 15 patients received conventional respiratory therapy （group B） and 15 patients received noninvasive positive pressure ventilation （group A） after surgery. The therapeutic effects of the two groups were compared. Results The incidence rate of complications in group a （13.3%） was significantly lower than that in group b （26.7%）， and the difference was statistically significant （P<0.05）. There was no significant difference in PaCO2， PaO2， HR， respiration and MBP between the two groups at 1 d after operation （P>0.05）. The difference between the two groups at 3 d after operation was statistically significant （P<0.05）. The hospitalization time and expenses of patients in group a were significantly less than those in group b （P< 0.05）. There was significant difference in anxiety and depression scores between the two groups after treatment （P<0.05）. The quality of life scores of patients in group a， including physiological function， emotional function， social function， general health and general health， were significantly better than those in group b （P<0.05）. Conclusion Non-invasive positive pressure ventilation is needed after thoracic surgery in the elderly， which is beneficial to the recovery of patients and reduces the incidence of complications.

Key words: thoracotomy, noninvasive positive pressure ventilation, elderly