无创正压通气序贯治疗中不同时长护理干预的效果观察  

Effect observation of different time length of nursing intervention in sequential noninvasive positive pressure ventilation treatment

作　　者：张静[1] 杨阳[1] 邹俊[1] 

机构地区：[1]四川省医学科学院.四川省人民医院呼吸科,四川成都610072

出　　处：《实用医院临床杂志》2015年第6期96-98,共3页Practical Journal of Clinical Medicine

摘　　要：目的研究无创正压通气序贯治疗慢性阻塞性肺疾病急性加重期(AECOPD)患者呼吸衰竭中的最佳护理干预时间。方法选取2010年9月至2012年9月ICU行无创正压通气序贯治疗的AECOPD呼吸衰竭患者102例,护理干预(自主呼吸试验护理、心理护理、饮食护理)时间分别为30分钟、2小时和24小时(每组各34例),观察3组患者无创正压通气序贯治疗后48小时内的再插管率。结果护理干预30分钟组患者再插管率较2小时组和24小组高,差异有统计学意义(P<0.05),而2小时组与24小时组再插管率差异无统计学意义(P>0.05)。结论当护理干预时间超过2小时,采用无创正压通气序贯治疗AECOPD患者呼吸衰竭时再插管率低,有较高的治疗成功率。Objective To study the optimal nursing intervention time of the sequential noninvasive positive pressure ventilation（ SNPPV） in the treatment of respiratory failure of patients with acute exacerbation of chronic obstructive pulmonary disease（ AECOPD）. Methods A total of 102 AECOPD patients with respiratory failure required SNPPV treatment in ICU from September 2010 to September 2012 were selected. According to the nursing intervention time（ spontaneous breathing trials nursing,psychological nursing and diet nursing） the patients were divided into 30 minutes,2 hours and 24 hours groups,34 in each group. The reintubation rate in each group was observed within 48 hours after sequential ventilation treatment. Results The reintubation rate in the 30 minutes group was higher than that in the 2 hour and 24 hour groups（ P〈0. 05）. However,no statistical difference in the rate between the 2 hours and 24 hours groups was found（ P〉0. 05）. Conclusion When the nursing intervention time was more than 2 hours,AECOPD patients with respiratory failure using SNPPV treatment has lower reintubation rate but higher treatment success.

关 键 词：序贯无创正压通气 护理干预 时机 

分 类 号：R562[医药卫生—呼吸系统]