老年慢性阻塞性肺疾病合并重症呼吸衰竭无创通气治疗的护理  

Nursing Care of Elderly Patients with Chronic Obstructive Pulmonary Disease Complicated with Severe Respiratory Failure without Invasive Ventilation

作　　者：赵明明[1] ZHAO Ming-ming(Department of Respiratory Medicine,People＇s Hospital of Rongcheng,Rongcheng,Shandong Province,264300 China)

机构地区：[1]山东省荣成市人民医院呼吸内科,山东荣成264300

出　　处：《中外医疗》2018年第30期111-112,148,共3页China & Foreign Medical Treatment

摘　　要：目的探讨老年慢性阻塞性肺疾病合并重症呼吸衰竭无创通气治疗的护理的效果。方法方便收集2016年2月—2018年1月在该院呼吸科住院治疗的COPD合并呼吸衰竭患者90例,随机分为无创通气组和常规组,各45例。常规组采用常规的治疗和护理措施,无创通气组则加用无创通气治疗及针对性护理,比较两组肺功能恢复正常时间、出院时间及临床疗效及患者对护理的满意度。结果与常规组相比,无创通气组肺功能恢复正常时间、住院时间明显缩短[(6.17±1.53)、(8.85±1.63) vs (8.87±1.72)d、(12.54±1.86)d],差异有统计学意义(t=7.878、10.009,P<0.05),无创通气组的显效率、总有效率明显提高(62.22%、97.78%vs 37.78%、82.22%),差异有统计学意义(X^2=5.378、6.049,P<0.05),无创通气组的满意度明显提高(95.56%vs 71.11%)差异有统计学意义(X^2=9.680,P<0.05)。结论无创正压通气及针对性护理能有效缩短患者的治疗时间,提高疗效和护理满意度,值得临床推广。Objective To investigate the effect of non-invasive ventilation therapy for elderly patients with chronic obstructive pulmonary disease and severe respiratory failure. Methods Ninety patients with COPD and respiratory failure who were hospitalized in the hospital from February 2016 to January 2018 were convenient selected and randomly divided into noninvasive ventilation group and routine group, 45 cases each. The routine group used routine treatment and nursing measures,and the non-invasive ventilation group was treated with non-invasive ventilation and targeted nursing. The normal time of pulmonary function recovery, discharge time and clinical efficacy, and patient satisfaction with nursing were compared. Results Compared with the conventional group, the normal time and hospitalization time of lung function in the non-invasive ventilation group were significantly shortened [（6.17±1.53）,（8.85±1.63）d vs（8.87±1.72）,（12.54±1.86）d]（t=7.878, 10.009, P〈0.05）, the significant efficiency and total effective rate of non-invasive ventilation group were significantly improved（62.22%, 97.78% vs 37.78%, 82.22%）,the different was statistically significant（X^2=5.378,6.049, P〈0.05）, non-invasive The satisfaction of the ventilation group was significantly improved（95.56% vs 71.11%）,the different was statistically significant（X^2=9.680, P〈0.05）. Conclusion Non-invasive positive pressure ventilation and targeted nursing can effectively shorten the treatment time of patients, improve the efficacy and satisfaction of nursing, and it is worthy of clinical promotion.

关 键 词：慢性阻塞性肺疾病 重症呼吸衰竭 无创通气 针对性护理 

分 类 号：R473.5[医药卫生—护理学]