特种护理对慢性阻塞性肺疾病患者喉罩通气的影响  

Impact of special nursing for patients with chronic obstructive pulmonary disease with laryngeal mask airway ventilation

作　　者：施东玲[1] 

机构地区：[1]南昌市第二医院健康体检治未病科,南昌330003

出　　处：《中国当代医药》2014年第31期121-123,共3页China Modern Medicine

摘　　要：目的：探讨特种护理对慢性阻塞性肺疾病（COPD）患者喉罩通气的影响。方法选取本院2013年1月～2014年2月收治的重症COPD使用喉罩通气的78例患者，将患者随机分为观察组（特种护理组）与对照组（常规护理组），每组各39例。比较两组护理前（入院时）、护理后（1周后）的pH值、动脉血氧分压（PaO2）、二氧化碳分压（PaCO2）、动脉血氧饱和度（SaO2）以及呼吸频率（R）、心率（HR）；观察两组的并发症发生情况。结果除对照组的R外，两组护理前后的pH、PaCO2、PaO2、SaO2、R、HR比较，差异有统计学意义（P＜0.05）；两组护理后的pH、PaCO2、PaO2、SaO2、R、HR比较，差异无统计学意义（P＞0.05）。两组的并发症发生情况院观察组除3例（7.69%）发生咳嗽外，未发生其他并发症。对照组发生胃内容物反流误吸2例（5.13%）、咳嗽8例（20.51%）、呕吐3例（7.69%）、发声困难2例（5.13%）、吞咽困难4例（10.26%）、咽痛9例（23.08%）、喉痉挛2例（5.13%）、腭垂损伤2例（5.13%）。结论重症COPD患者置入喉罩通气，通过特种对症护理措施明显减少了喉罩通气引起的并发症，从而改善患者的心肺功能。Objective To discuss the impact of special nursing for patients with chronic obstructive pulmonary disease （COPD） with laryngeal mask airway ventilation. Methods 78 patients with severe COPD with laryngeal mask airway treated in our hospital from January 2013 to February 2014 were randomly divided into the observation group （the spe-cial nursing group） and the control group （the routine nursing group）,and there were 39 cases in each group.pH value,PaO2, PaCO2,SaO2,R,HR before nursing （on admission） and after 1 week nursing in the two groups were compared;the occur-rence of complication in the two groups was observed. Results Except R in the control group,there was a statistical dif-ference of pH value,PaCO2,PaO2,SaO2 and R,HR in the two groups before and after nursing （P〈0.05）;there was no statisti-cal difference of pH value,PaCO2,PaO2,SaO2 and R,HR after nursing in the two groups （P〉0.05）.The occurrence of com-plication in the two groups：there was no other complications except 3 cases （7.69%） with cough in the observation group, there were 2 cases （5.13%） with of gastric contents reflux and aspiration,8 cases （20.51%） with cough,3 cases （7.69%） with vomiting,2 cases （5.13%） with dysphonia,4 cases （10.26%） with dysphagia,9 cases （23.08%） with sore throat,2 cases （5.13%） with laryngeal spasm and 2 cases （5.13%） with palate vertical injury. Conclusion For patients with severe COPD inserted laryngeal mask for ventilation,special nursing measure can obviously reduce the complications caused by la-ryngeal mask airway ventilation to improve the function of heart and lung of patients.

关 键 词：重症慢性阻塞性肺疾病 喉罩 特种护理措施 

分 类 号：R563.9[医药卫生—呼吸系统]