慢性阻塞性肺疾病并Ⅱ型呼吸衰竭患者应用无创机械通气的护理观察  

Nursing Observation of Non-invasive Mechanical Ventilation for Patients with Chronic Obstructive Pulmonary Disease and Type Ⅱ Respiratory Failure

作　　者：徐小芹 XU Xiao-qin(Nantong City the Third People＇s Hospital,Nantong Jiangsu 22600)

机构地区：[1]南通市第三人民医院,江苏南通226006

出　　处：《世界最新医学信息文摘》2018年第26期22-23,25,共3页World Latest Medicine Information Electronic Version

摘　　要：目的探讨慢性阻塞性肺疾病(COPD)并Ⅱ型呼吸衰竭患者应用无创机械通气的护理方法。方法将128例COPD并Ⅱ型呼吸衰竭患者随机分为对照组(64例)和观察组(64例)。观察组实施综合护理,对照组予常规护理。观察干预前后动脉血气分析(pH、PaO_2、PaCO_2)、HR、R及护理满意度。结果干预前,两组患者PaO_2、PaCO_2、pH、HR、R等指标比较,无明显差异(P>0.05);干预后,观察组PaO_2、PaCO_2、HR、R较对照组改善明显(P<0.01),但两组ph值比较无明显差异(P>0.05);观察组护理满意度明显高于对照组(P<0.05)。结论在COPD并Ⅱ型呼吸衰竭患者行无创机械通气过程中实施综合护理干预,能有效增强治疗效果,提升护理满意度。Objective to explore nursing methods of non-invasive mechanical ventilation for patients with chronic obstructive pulmonary disease（COPD） and type Ⅱ respiratory failure. Methods divide 128 cases COPD and type Ⅱ respiratory failure patients randomly into control group（64 cases） and observation group（64 cases）. Observation group was treated with comprehensive nursing, and control group with routine nursing. Observe arterial blood gas analysis（pH, PaO2, PaCO2）, HR, R and nursing satisfaction before and after intervention. Results before intervention, compare PaO2, PaCO2, pH, HR, R and other indexes of two groups, which had no significant difference（P〈0.05）; after intervention, the observation group PaO2, PaCO2, HR, R improved significantly than the control group（P〈0.01）, but p H values of two groups have no significant difference（P〈0.05）; nursing satisfaction degree of observation group was significantly higher than control group（P〈0.05）. Conclusion comprehensive nursing intervention can enhance treatment effect and improve nursing satisfaction degree effectively for COPD and type Ⅱ respiratory failure patients during non-invasive mechanical ventilation.

关 键 词：慢性阻塞性肺疾病 Ⅱ型呼吸衰竭 综合护理 无创机械通气 

分 类 号：R563[医药卫生—呼吸系统]