特发性肺间质纤维化无创通气支持的护理  

Nursing care of supportive noninvasive ventilation for idiopathic pulmonary fibrosis(IPF)

作　　者：徐锡凤[1] 谢瑛[1] 支秀琴[1] 陈志萍[1] 

机构地区：[1]江苏省无锡市人民医院,江苏无锡214023

出　　处：《中国当代医药》2009年第23期108-109,共2页China Modern Medicine

摘　　要：目的:总结特发性肺间质纤维化患者应用无创正压通气(NIPPV)治疗前后的临床观察与护理。方法:分析特发性肺间质纤维化使用无创通气患者的护理,并追踪治疗结果。结果:本组30例患者中,21例(70%)治疗后好转,9例(30%)患者病情恶化接受有创机械通气,最终死亡3例(10%)。血氧饱和度、PaO2/FiO2、RR在治疗前后对比差异具有统计学意义,而pH、PaO2及PaCO2在治疗前后对比差异无统计学意义。结论:NIPPV为IPF的抢救和康复创造了条件,对患者实施良好的护理是应用无创正压通气的关键。Objective ：To summarize tile clinical observation and nursing care of clients with IPF by treatment of noninvasive positive pressure ventilation （NIPPV）. Methods：Nursing care of thirty clients with NIPPV was analysed and whose treatment results were tracked. Results：70 percent of thirty clients got better after treatment, 30 percent of them got worse and accepted invasive ventilation, and three clients died finally. There were distinct discrepancy before and after treatment about SpO2, PaO2/FiO2,RR, but no obvious dift）rence in pH,PaO2 及 PaCO2. Conclusion：NIPPV is the premise of rescue and rehabilitation for IPF. Providing good nursing care is significant for treatment of NIPPV.

关 键 词：特发性肺间质纤维化 正压通气 护理 

分 类 号：R473.5[医药卫生—护理学]