慢性阻塞性肺疾病的临床观察与护理  

Clinical observation and nursing of COPD

作　　者：叶衬笑 李见好[1] 

机构地区：[1]广东省东莞市石龙人民医院,广东东莞523321

出　　处：《中国医药导报》2011年第18期119-120,共2页China Medical Herald

摘　　要：目的:探讨慢性阻塞性肺疾病的临床观察与护理。方法:将120例患者随机分成三组,Ⅰ组40例(无创正压通气+特殊护理),Ⅱ组40例(常规氧疗+特殊护理)和Ⅲ组40例(无创正压通气+常规护理),对比观察其疗效。结果:治疗后,Ⅰ组患者的,PaCO2为(53.87±4.53)mm Hg,PaO2为(83.24±2.45)mm Hg,pH(7.41±0.03);Ⅱ组PaCO2为(62.86±4.51)mm Hg,PaO2为(69.02±3.41)mm Hg,pH(7.28±0.04),Ⅰ组改善明显好于Ⅱ组(P<0.05);Ⅰ组的总有效率为95%,明显高于Ⅲ组的总有效率80%(χ2=4.114 3,P<0.05)。结论:无创正压通气配合特殊护理治疗慢性阻塞性肺疾病,具有显著成效,值得临床推广。Objective： To Discuss the clinical observation and nursing of COPD.Methods： 120 cases were randomly divided into three groups,groupⅠ had 40 cases（NPPV＋ Special care）,group Ⅱ had 40 cases（Regular oxygen＋ Special care） and group Ⅲ had 40 cases（NPPV＋ Regular care）,the effect of three groups were compared and observed.Results： After curing,the patients′ PaCO2 was（53.87±4.53） mm Hg,PaO2 was（83.24±2.45） mm Hg and pH was（7.41±0.03） in group Ⅰ,the patients′ PaCO2 was（62.86±4.51） mm Hg,PaO2 was（69.02±3.41） mm Hg and pH was（7.28±0.04） in group Ⅱ,group Ⅰwas better than group Ⅱ（P0.05）;Compared the total effective between group Ⅰ and group Ⅲ,group Ⅰ was 95% which was better than group Ⅲ which was 80%（χ2=4.114 3,P0.05）.Conclusion： NPPV and special care in the treatment of COPD have significant results and be worthy of clinical.

关 键 词：慢性阻塞性肺疾病 临床观察 护理 

分 类 号：R556.05[医药卫生—血液循环系统疾病]