重症监护护理在呼吸衰竭患者中的应用研究  

Application of Intensive Care in Patients with Respiratory Failure

作　　者：张丽[1] ZHANG Li(Department of Critical Care Medicine,Central Hospital of Shandong Xinwen Mining Group,Xinwen,Shandong Province,271219 China)

机构地区：[1]山东省新汶矿业集团中心医院重症医学科

出　　处：《中外医疗》2019年第33期132-133,174,共3页China & Foreign Medical Treatment

摘　　要：目的对呼吸衰竭患者进行重症监护护理的效果进行分析和研究。方法方便选择该院在2018年1—12月期间收治的80例呼吸衰竭患者作为该次研究的纳入对象,按照硬币法将其划分为对照组和观察组,每组40例患者。采用常规护理方式对对照组予以护理,采用重症监护护理对观察组予以护理。在护理完成之后,对两组患者的护理效果予以分析和比较。结果对照组护理前的动脉血氧分压为(50.8±6.1)mm Hg,动脉二氧化碳分压为(87.8±6.7)mmHg,观察组护理前的动脉血氧分压为(50.7±6.3)mmHg,动脉二氧化碳分压为(87.9±7.4)mmHg。两组患者护理前的动脉血氧分压和动脉二氧化碳分压相比差异无统计学意义(t=0.238、0.217,P>0.05)。对照组护理后的动脉血氧分压为(71.1±6.0)mmHg,动脉二氧化碳分压为(55.4±5.5)mmHg,观察组护理后的动脉血氧分压为(95.9±4.8)mmHg,动脉二氧化碳分压为(43.1±2.3)mmHg。观察组护理后的动脉血氧分压和动脉二氧化碳分压明显优于对照组,两组患者组间比较差异有统计学意义(t=3.054、2.855,P<0.05)。结论采用重症监护护理的方式对呼吸衰竭患者进行护理具有确切的效果,可以使患者的血气指标得到有效改善,促进患者的身体康复。Objective To analyze and study the effect of intensive care for patients with respiratory failure.Methods Convenient selected eighty patients with respiratory failure admitted to the hospital from January to December 2018 were enrolled as subjects in this study.They were divided into control group and observation group according to the coin method.Each group had 40 patients.The control group was treated with routine nursing methods,and the observation group was treated with intensive care.After the nursing is completed,the nursing effects of the two groups of patients are analyzed and compared.Results The arterial partial pressure of oxygen before treatment in the control group was(50.8±6.1)mmHg,and the partial pressure of arterial carbon dioxide was(87.8±6.7)mmHg.The partial pressure of arterial oxygen before observation in the observation group was(50.7±6.3)mm Hg.The arterial carbon dioxide partial pressure is(87.9±7.4)mmHg.There was no significant difference in arterial oxygen partial pressure and arterial carbon dioxide partial pressure between the two groups,which was not statistically significant(t=0.238,0.217,P>0.05).The arterial partial pressure of oxygen in the control group was(71.1±6.0)mmHg,and the partial pressure of arterial carbon dioxide was(55.4±5.5)mmHg.The arterial partial pressure of oxygen in the observation group was(95.9±4.8)mmHg.The arterial carbon dioxide partial pressure is(43.1±2.3)mmHg.The arterial oxygen partial pressure and arterial carbon dioxide partial pressure of the observation group were significantly better than the control group.The difference between the two groups was statistically significant(t=3.054,2.855,P<0.05).Conclusion Intensive care nursing has a definite effect on the care of patients with respiratory failure,which can effectively improve the blood gas index of patients and reduce the incidence of complications.

关 键 词：呼吸衰竭 常规护理 重症监护护理 动脉血氧分压 动脉二氧化碳分压 

分 类 号：R47[医药卫生—护理学]