呼吸衰竭患者无创通气护理中的问题及对策  

Problems and countermeasures of noninvasive ventilation on nursing respiratory failure

作　　者：钱晓岚[1] 

机构地区：[1]深圳市中医院,广东深圳518033

出　　处：《中医临床研究》2016年第29期82-84,共3页Clinical Journal Of Chinese Medicine

基　　金：<加味银翘方抗甲型流感病毒的机理探讨和临床研究>;项目编号为201003183

摘　　要：目的：研究分析呼吸衰竭患者无创通气护理中的问题及对策。方法：选取我科84例经过无创通气护理的呼吸衰竭患者,其中男48例,女36例,年龄36~70岁。在护理过程中观察患者的生理反应、无创通气的舒适度、护理难度、治疗效果、相关并发症及程度,进行记录分析。结果：呼吸衰竭患者无创通气护理治疗有效率高达94%,治疗后患者Sa O2、Pa O2（mm Hg）、Pa CO2（mm Hg）等指标均较治疗前有明显改善,统计学分析表明,治疗前后各指标差异具有统计学意义（P〈0.05）。5例病人发生并发症状,其中2人死亡。结论：对呼吸衰竭患者予无创通气护理,简便易行,依从性良好,护理难度相对要求不高,减少了气管插管和气管切开的风险,也有效降低了治疗过程中的并发症严重程度和发生概率,可以有效提高治愈率,促进患者恢复健康。Objective： To research and analyze the problems and countermeasures of noninvasive ventilation on respiratory failure. Methods： In 84 patients, 48 cases are male and 36 cases are female, from 36 to 70 years old. In the nursing courses, physiological reaction, the comfort of noninvasive ventilation, the difficulty of nursing, efficacy, related complications were recorded and analyzed. Results：The efficiency was 94%; the indexes such as SaO：, PaO2（mmHg）, PaCO：（mmHg） were significantly improved, with a statistically significant difference （P〈0.05）. 5 cases occurred concurrent;2 cases were died. Conclusion： The noninvasive ventilation on nursing respiratory failure patients is simple, and shows a good compliance and not high difficulty, can reduce the risk of tracheal intubation and tracheotomy, effectively reduce the severity and complications, effectively improved cure rate and raise the quality of life.

关 键 词：呼吸衰竭 无创通气 护理 

分 类 号：R563.8[医药卫生—呼吸系统]