中医护理配合无创呼吸机在慢性阻塞性肺疾病患者中的应用效果观察  

Observation of Application Effect of Traditional Chinese Medicine Nursing Combined with Noninvasive Ventilator in Chronic Obstructive Pulmonary Disease Patients

作　　者：赵润波 曾燕玲[1] 茹茵茵 Zhao Run-bo;Zeng Yan-ling;Ru Yin-yin(Xinhui Hospital of Traditional Chinese Medicine,Jiangmen 529100,Guangdong Province,China)

机构地区：[1]广东省江门市新会区中医院,广东江门529100

出　　处：《中国社区医师》2023年第12期143-145,共3页Chinese Community Doctors

摘　　要：目的:探究中医护理配合无创呼吸机在慢性阻塞性肺疾病患者中的应用效果。方法:选取2019年1月—2021年4月广东省江门市新会区中医院收治的66例慢性阻塞性肺疾病患者作为研究对象,根据随机数字表法分为对照组与试验组,各33例。对照组在无创呼吸机辅助通气的基础上实施常规护理干预,试验组在对照组基础上实施中医护理,比较两组干预前后血气指标、症状消失时间及住院时间、舒适度。结果:干预前,两组动脉血氧分压(PaO_(2))、血氧饱和度(SPO_(2))、动脉血二氧化碳分压(PaCO_(2))水平比较,差异无统计学意义(P>0.05);干预后,试验组PaO_(2)、SaO_(2)水平高于对照组,PaCO_(2)水平低于对照组,差异有统计学意义(P=0.000)。试验组气促、咳嗽、咳痰症状消失时间及住院时间短于对照组,差异有统计学意义(P=0.000)。试验组总舒适度高于对照组,差异有统计学意义(P=0.006)。结论:中医护理配合无创呼吸机用于慢性阻塞性肺疾病患者,可以改善患者血气指标,提升舒适度,缩短治疗时间,促进康复,值得临床推广。Objective:To explore the application effect of traditional Chinese medicine nursing combined with noninvasive ventilator in patients with chronic obstructive pulmonary disease.Methods:A total of 66 patients with chronic obstructive pulmonary disease admitted to Xinhui Hospital of Traditional Chinese Medicine in Jiangmen City of Guangdong Province from January 2019 to April 2021 were selected as the study subjects.According to random number table method,they were divided into control group and trial group,with 33 cases in each group.The control group received routine nursing intervention on the basis of noninvasive ventilator assisted ventilation.The trial group received traditional Chinese medicine nursing on basis of control group.Blood gas indexes,symptom disappearance time,hospital stay and comfort were compared between the two groups before and after intervention.Results:Before intervention,there was no significant difference between the two groups in the levels of arterial partial pressure of oxygen(PaO_(2)),arterial oxygen saturation(SPO_(2))and arterial partial pressure of carbon dioxide(PaCO_(2))(P>0.05).After intervention,the levels of PaO_(2) and SaO_(2) in the trial group were higher than those in the control group,and the level of PaCO_(2) in the trial group was lower than that in the control group,and the difference was statistically significant(P=0.000).The disappearance time of shortness of breath,cough and expectoration and hospital stay in the trial group were shorter than those in the control group,and the difference was statistically significant(P=0.000).The total comfort in the trial group was higher than that in the control group,and the difference was statistically significant(P=0.006).Conclusion:Traditional Chinese medicine nursing combined with noninvasive ventilator for patients with chronic obstructive pulmonary disease can improve the blood gas index,improve the comfort,shorten the treatment time and promote the rehabilitation,which is worthy of clinical promotion.

关 键 词：无创呼吸机 慢性阻塞性肺疾病 中医护理 

分 类 号：R248.1[医药卫生—中医临床基础]