慢性阻塞性疾病合并呼吸衰竭患者行无创机械通气的护理体会  

Nursing Experience of Non Invasive Mechanical Ventilation in Patients with Chronic Obstructive Disease and Respiratory Failure

作　　者：张珍菊 ZHANG Zhen-ju(Sichuan Zigong Third People’s Hospital intensive care unit,Zigong Sichuan 643000)

机构地区：[1]自贡市第三人民医院,四川自贡643000

出　　处：《世界最新医学信息文摘》2018年第18期203-204,共2页World Latest Medicine Information Electronic Version

摘　　要：目的探讨无创机械通气治疗慢性阻塞性疾病合并呼吸衰竭患者的疗效与护理体会。方法慢性阻塞性疾病合并呼吸衰竭患者82例在常规治疗的基础上行无创机械通气并进行护理,观察无创机械通气前,治疗后2小时、24小时的心率、呼吸频率、动脉血PH值、动脉血Pa O_2 及动脉血Pa CO_2 的变化。结果与无创机械通气前比较,治疗后2小时心率、呼吸频率、动脉血Pa CO_2 较机械通气前显著降低,动脉血Pa O_2 和血p H值显著增加;与2小时比较,机械通气24小时后心率、呼吸频率、动脉血Pa CO_2 进一步降低,动脉血Pa O_2 和血p H值进一步增加。结论无创机械通气可显著改善慢性阻塞性疾病合并呼吸衰竭患者的缺氧状况,期间良好的护理有利于提高疗效。Objective To explore the curative effect and nursing experience of non invasive mechanical ventilation in the treatment of chronic obstructive diseases with respiratory failure.Methods Chronic obstructive pulmonary disease complicated with respiratory failure in 82 patients in the conventional treatment on the basis of noninvasive mechanical ventilation and nursing,observation of noninvasive mechanical ventilation before and after ventilation 2 hours and 24 hours of heart rate,respiratory rate,arterial blood pH,arterial blood PaO2 and arterial blood PaCO2 changes.Results The results with noninvasive mechanical ventilation before treatment,after 2 hours of heart rate,respiratory rate,arterial blood PaCO2 significantly decreased before mechanical ventilation,arterial blood PaO2 and blood pH increased significantly;compared with 2 hours,24 hours of mechanical ventilation after the heart rate,respiratory rate,arterial blood PaCO2 decreased further,arterial blood PaO2 and blood pH to further increase the value.Conclusion Noninvasive mechanical ventilation can significantly improve the condition of anoxia in patients with chronic obstructive disease and respiratory failure,and good nursing is beneficial to improve the curative effect.

关 键 词：慢性阻塞性肺疾病 呼吸衰竭 无创机械通气 护理 

分 类 号：R714.253[医药卫生—妇产科学]