摘要
目的:探讨无创呼吸机治疗慢性阻塞性肺疾病(COPD)合并呼吸衰竭的护理方法及效果。方法:2018年1月-2019年12月收治COPD合并呼吸衰竭患者60例,随机分为两组,各30例。两组均应用无创呼吸机治疗;对照组给予常规护理;观察组实施综合护理干预。比较两组无创通气耐受率、不良反应发生率及血气指标水平。结果:观察组无创通气耐受率明显高于对照组,不良反应发生率明显低于对照组,差异均有统计学意义(P<0.05)。观察组护理后PaO2水平明显高于对照组,PaCO2水平明显低于对照组,差异均有统计学意义(P<0.05)。结论:加强无创呼吸机治疗COPD合并呼吸衰竭的护理干预,可以显著提高临床疗效及无创通气耐受率,降低不良反应发生率。
Objective:To discuss the nursing method and effect of non-invasive ventilator in the treatment of chronic obstructive pulmonary disease(COPD)complicated with respiratory failure.Methods:From January 2018 to December 2019,60 cases of COPD patients with respiratory failure were enrolled,they were randomly divided into two groups with 30 cases in each group.Both groups were treated with non-invasive ventilator,the control group was given conventional nursing,while the observation group was given comprehensive nursing intervention.The tolerance rate of non-invasive ventilation,the incidence rate of adverse reactions and the indicator levels of blood gas were compared between the two groups.Results:The tolerance rate of non-invasive ventilation in observation group was significantly higher than that in control group,the incidence rate of adverse reactions was significantly lower than that of the control group,the differences were statistically significant(P<0.05).After nursing,the PaO2 level of the observation group was significantly higher than that of the control group,the PaCO2 level was significantly lower than that of the control group,the differences were statistically significant(P<0.05).Conclusion:Strengthening the nursing intervention of non-invasive ventilator in the treatment of COPD with respiratory failure can significantly improve the clinical efficacy and tolerance rate of non-invasive ventilation and it can also reduce the incidence rate of adverse reactions.
作者
李桂红
Li Guihong(Jinhu County People's Hospital,Huai'an Rehabilitation Hospital,Jiangsu Huai'an 211600)
出处
《中国社区医师》
2020年第35期128-129,共2页
Chinese Community Doctors
关键词
无创呼吸机
慢性阻塞性肺疾病
呼吸衰竭
护理
Non-invasive ventilator
Chronic obstructive pulmonary disease
Respiratory failure
Nursing
