摘要
目的观察无创正压通气治疗慢性阻塞性肺气肿(COPD)合并急性呼吸衰竭(ARF)的疗效及总结护理要点。方法将40例COPD合并ARF患者随机分为对照组与治疗组各20例,对照组给予常规药物治疗、护理及氧疗,治疗组在对照组治疗基础上应用无创正压通气。结果治疗后24 h治疗组PaO2、pH值较对照组明显增高,PaCO2、呼吸频率及气管插管率较对照组明显降低,两组比较,差异有统计学意义(均P<0.01)。结论无创正压通气可使肺泡通气量增加,降低PaCO2,提高了PaO2,使心肌供氧增加,从而改善心功能,并减少气管插管率。护理上应做好通气前患者心理护理,治疗过程密切观察患者血气分析、生命体征、神志、人机配合等,及时处理不良反应,是患者顺利进行无创正压通气治疗的保证。
Objective To study the effect of non-invasive positive pressure ventilation on COPD and acute respiratory failure （ARF） and its main points in nursing. Methods 40 patients with COPD and ARF were divided into two groups randomly with 20 cases in each group. The contrast group was given conventional treatment, nursing and 02 treatment. The treatment group was given non-invasive positive pressure ventilation besides conventional treatment. Results Blood gas analysis of two groups was compared 24 hours after the treatment. PaO2 , pH in treatment group increased higher than that in the contrast group （ P 〈 0. 01 ）. HR in treatment group decreased lower than that in the contrast group, but there was no statistic significance （ P 〉 0. 05 ）. The rate of trachea cannula in the treatment group was lower than that in the contrast group （ P 〈 0. 01 ）. Conclusion The non-invasive positive pressure ventilation can improve the cardiac function and reduce the rate of trachea intubation. Good nursing of non-invasive positive pressure ventilation is important to relieve the fear of patients, promote the effect and reduce the complications.
出处
《现代临床护理》
2006年第6期32-34,共3页
Modern Clinical Nursing
关键词
无创正压通气
慢性阻塞性肺气肿
急性呼吸衰竭
护理
non-invasive positive pressure ventilation
COPD
acute respiratory failure
nursing
