摘要
目的探讨专科护理联合预见性护理在无创呼吸机治疗COPD合并呼吸衰竭患者的效果。方法分析蚌埠医学院第一附属医院重症医学科2016年4月~2017年4月收治的COPD合并呼吸衰竭患者120例临床资料,采用随机法进行分组,常规护理措施组50例和联合护理措施组70例。观察两组COPD合并呼吸衰竭患者治疗前后氧分压(PaO2)、二氧化碳分压(PaCO2)、全心舒张末期容积(GEDVI)、心脏指数(CI)、外周血管阻力(SVRI)情况,观察两组COPD合并呼吸衰竭患者临床疗效情况。结果两组COPD合并呼吸衰竭患者治疗前PaO2、PaCO2、GEDVI、CI、SVRI比较,差异无统计学意义(P> 0.05),治疗后常规护理措施组和联合护理措施组患者PaO2、GEDVI、CI、SVRI高于治疗前,PaCO2低于治疗前,联合护理措施组患者治疗后PaO2、GEDVI、CI、SVRI高于常规护理措施组,PaCO2低于常规护理措施组,联合护理措施组患者临床治疗总有效率高于常规护理措施组,差异有统计学意义(P <0.05)。结论专科护理联合预见性护理在无创呼吸机治疗COPD合并呼吸衰竭患者应用,可以改善患者血氧分压和心脏指数,提高临床效果,值得临床推广应用。
Objective To explore the effect of specialist nursing combined with predictive nursing in patients with COPD and respiratory failure treated by noninvasive ventilator. Methods 120 patients’ clinical data of COPD combined with respiratory failure in ICU of the first affiliated hospital of bengbu medical college from April 2016 to April 2017 were analyzed,they were divided into two groups by random method,routine nursing measure group with50 cases and combined nursing measure group with 70 cases.The PaO2,PaCO2,GEDVI,CI,SVRI and the clinical effect of the two groups were observed. Results There was no significant difference in PaO2,PaCO2,GEDVI,CI and SVRI between the two groups before treatment(P > 0.05).After treatment,PaO2,GEDVI,CI and SVRI in routine nursing measure group and combined nursing measure group were higher than those before treatment,PaCO2 was lower than that before treatment,PaO2,GEDVI,CI and SVRI in combined nursing measure group were higher than those in routine nursing measure group,PaCO2 was lower than that in routine nursing measure group.The total effective rate of clinical treatment in combined nursing measure group was higher than that in routine nursing measure group, and the difference was statistically significant(P < 0.05). Conclusion The application of specialist nursing combined with predictive nursing in patients with COPD and respiratory failure treated by noninvasive ventilator,which can improve blood oxygen partial pressure and CI,increase clinical effect,it is worth to be used.
作者
汤州
TANG Zhou(ICU,the First Affiliated Hospital of Bengbu Medical College,Bengbu 233000,China)
出处
《中国医药科学》
2019年第11期63-66,共4页
China Medicine And Pharmacy
关键词
专科护理
预见性护理
无创呼吸机
COPD
呼吸衰竭
Specialist nursing
Predictive nursing,Noninvasive ventilation
COPD
Respiratory failure
