床旁端坐位护理对COPD患者机械通气时间的影响研究  

Research on effects of bedside sitting nursing on COPD patients with me-chanical ventilation duration

作　　者：陈明君[1] 丁群力[2] 陈益峰[1] 张红娟[1] 郭晓岚[1] 

机构地区：[1]宁波大学医学院附属医院重症监护室,浙江宁波315020 [2]宁波大学医学院附属医院呼吸科,浙江宁波315020

出　　处：《中国现代医生》2015年第35期127-130,共4页China Modern Doctor

基　　金：浙江省自然科学基金项目(LY15H010004)

摘　　要：目的探讨床旁端坐位护理对慢性阻塞性肺疾病（COPD）患者机械通气时间的影响。方法选择2013年1月~2014年1月我院收治的96例慢性阻塞性肺疾病患者作为研究对象,根据护理方式不同将其分为对照组与观察组,每组48例。对照组给予常规治疗和护理,观察组在对照组的基础上给予床旁端坐位护理,对比分析两组患者的机械通气时间、住院时间、护理前后血气指标变化情况等。结果两组患者护理前的Pa O_2、PaCO_2、Sp O_2水平比较,差异无统计学意义（P〉0.05）;护理后,观察组的Pa O_2、PaCO_2、Sp O_2改善水平优于对照组（P〈0.05）。观察组机械通气时间、住院时间均低于对照组,呼吸机成功撤机率为85.4%,高于对照组的64.6%,呼吸机相关肺炎的发生率为4.2%,低于对照组的22.9%,差异有统计学意义（P〈0.05）。结论床旁端坐位护理可有效改善慢性阻塞性肺疾病患者的通气功能,减少机械通气时间,降低呼吸机相关肺炎的发生情况,缩短住院时间,提高患者生存质量,其临床应用价值高。Objective To explore influences of bedside sitting nursing on mechanical ventilation duration of patients with chronic obstructive pulmonary disease（COPD）. Methods Ninety six patients with COPD admitted in the hospital from January 2013 to January 2014 were selected as research subjects, who were divided into control group and observation group with 48 patients in each group according to different nursing modes. The patients in the control group were subjected to conventional treatment and nursing, while the patients in the observation group were subjected to bedside sitting nursing on the basis of that applied in the control group, mechanical ventilation duration, length of hospital stay,changes in blood and vigor indexes before and after nursing of two groups of patients were compared and analyzed. Results The differences in comparisons of PaO_2, PaCO_2 and SpO_2 levels of patients in two groups had no statistically significant before nursing（P〉0.05）; and PaO_2, PaCO_2 and SpO_2 levels of patients in the observation group after nursing were better than those indexes of patients in the control group（P〈0.05）. Mechanical ventilation duration and length of hospital stay of patients in the observation group were lower than those of patients in the control group, the successful removal of respirators used in the observation hit was 85.4%, was higher than 64.6% in the control group, the incidence of ventilator associated pneumonia was 4.2%, was lower than 22.9% in the control group, and the difference was significant（P〈 0.05）. Conclusion The bedside sitting position can effectively improve the ventilation function of patients with COPD, reduce the duration of mechanical ventilation, decrease the occurrence of ventilator associated pneumonia,shorten hospitalization time, and improve the quality of survival, delivering high clinical application value.

关 键 词：慢性阻塞性肺疾病 床旁端坐位 机械通气 呼吸机相关性肺炎 

分 类 号：R473[医药卫生—护理学]