无创正压通气治疗慢性阻塞性肺病的临床观察及护理效应  

Curative Effect Observation and Nursing of Noninvasive Positive Pressure Ventilation Treatment of Chronic Obstructive Pulmonary Disease

作　　者：王媛媛[1] 王巧云[1] 胡绍辉[1] 张鹏霞[1] 李丹[1] 

机构地区：[1]解放军总医院呼吸科,北京100853

出　　处：《现代生物医学进展》2012年第9期1731-1733,共3页Progress in Modern Biomedicine

摘　　要：目的:探讨无创正压通气治疗慢性阻塞性肺病的临床疗效和护理效应。方法:本科收治的慢性阻塞性肺病患者90例,随机分为对照组和观察组。对照组给予常规治疗及常规专业护理措施。在对照组的治疗方式的基础上,应用无创性呼吸机治疗;并在进行无创正压通气及常规专业护理措施的同时,患者行综合护理干预措施。结果:治疗后,观察组心率、呼吸频率与对照组相比下降更明显,差异显著(P<0.01)。治疗后,观察组动脉血气指标与对照组相比改善更明显,差异具有显著性(P<0.01)。观察组住院时间少于对照组,差异具有显著性(P<0.01)。结论:采用无创正压通气治疗慢性阻塞性肺病患者疗效可靠,辅以综合护理干预措施,能够有效的促进患者恢复。Objective：To explore the nursing method and noninvasive positive pressure ventilation in the treatment of chronic obstructive pulmonary disease clinical curative effect.Method： The hospital of patients with chronic obstructive pulmonary disease in 90 cases,were randomly divided into control group and observation group.The control group was given routine treatment and routine nursing measures.In the control group treatment basis,the application of noninvasive ventilation in the treatment;and in noninvasive positive pressure ventilation and conventional nursing measures at the same time,were treated with comprehensive nursing intervention measures.Results： After treatment,the observation group of heart rate,respiratory rate compared with the control group decreased more significantly,significant difference（P〈0.01）.After treatment,the observation group arterial blood gas index compared with the control group improved more obviously,the difference was significant（P〈0.01）.The observation group hospitalization time was less than the control group,the difference was significant（P〈0.01）.Conclusion： Noninvasive positive pressure ventilation in the treatment of patients with chronic obstructive pulmonary disease curative effect is reliable,supplemented by a comprehensive nursing intervention measures,can effectively promote the patients.

关 键 词：无创正压通气 慢性阻塞性肺病 护理 心率 

分 类 号：R563.5[医药卫生—呼吸系统]