摘要
目的探讨无创正压通气在治疗慢性阻塞性肺疾病(COPD)合并Ⅱ型呼吸衰竭中的疗效及护理策略,总结护理经验,提高护理水平。方法观察36例COPD合并Ⅱ型呼吸衰竭患者进行无创正压通气治疗前后临床症状及血气分析的变化及相应护理,进行总结和分析。结果经无创正压通气治疗护理后,患者呼吸困难症状明显减轻,动脉血氧分压和二氧化碳分压明显改善(P<0.05)。无一例发生明显呼吸机相关并发症。结论慢性阻塞性肺病合并Ⅱ型呼吸衰竭患者应用无创正压通气操作简单,创伤小,减少了气管插管或气管切开的危险因素,降低了并发症的发生。全面、严密、周到的护理是治疗成功的重要保证。
Objective To explore the efficiency of non-invasive positive pressure ventilation in the treatment of chronic obstructive pulmonary disease（COPD） with type Ⅱ respiratory failure and the nursing strategies and to sum up nursing experience in order to improve the standard of care.Methods 36 cases of COPD patients with type Ⅱ respiratory failure received the non-invasive positive pressure ventilation.By observing their clinical symptoms before and after the treatment,we analysed the changes of blood gas the corresponding care.Results With the treatment of non-invasive positive pressure ventilation and corresponding care,patients＇ symptoms of dyspnea were reduced significantly and the arterial partial pressure of oxygen and carbon dioxide partial pressure improved（P0.05）.No patients suffered from significant ventilator-related complications.Conclusion In the treatment of COPD with respiratory failure,noninvasive positive pressure ventilation,simple in operation with small trauma,reduced the risk factors in tracheal itubation or tracheostomy and lowered the incidence of complications.Meanwhile,a comprehensive,rigorous and thoughtful care is also an important guarantee for successful treatment.
出处
《当代医学》
2010年第16期125-126,共2页
Contemporary Medicine
关键词
慢性阻塞性肺疾病
Ⅱ型呼吸衰竭
无创正压通气
护理
chronic obstructive pulmonary disease（COPD）
type Ⅱ respiratory failure
non-invasive positive ventilation
care
