无创正压通气治疗AECOPD合并呼吸衰竭患者的护理研究(1)
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2011年2月15日
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[摘要] 目的：探讨无创正压通气治疗慢性阻塞性肺气肿急性加重期(AECOPD)合并呼吸衰竭患者的护理方法及效果。方法：将本院2007年6月～2009年6月收治的50例AECOPD伴呼吸衰竭患者，随机分为观察组和对照组，对照组在采用常规治疗下进行护理，观察组在对照组护理基础上采用无创正压通气，并进行护理，比较两组患者治疗24 h后的心率、呼吸频率、动脉血氧分压及动脉血氧饱和度及疗效。结果：观察组心率、呼吸频率、动脉血氧分压及动脉血氧饱和度均较对照组有明显改善，P<0.05。观察组护理效果显著优于对照组。结论：无创通气可显著缓解AECOPD伴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。
[关键词] 无创机械通气；AECOPD；呼吸衰竭；护理
[中图分类号] R473 [文献标识码]C[文章编号]1674-4721(2011)02(b)-114-02
The nursing research regarding the treatment of patients with respiratory failure by (AECOPD) noninvasive positive pressure ventilation
TAN Junhua,TONG Jun
(Department of internal medicine, Central Hospital of Bazhong City, Sichuan Province, Bazhong 636000,China)
[Abstract] Objective: To discuss the nursing method and effect of noninvasive positive pressure ventilation in the treatment of chronic obstructive pulmonary emphysema acute exacerbation (AECOPD) in patients with respiratory failure. Methods: 50 AECOPD patients who were admitted with respiratory failure from June 2007 to June 2009 in our hospital, the control group were carried out under the care of common treatment, randomly divided into the observationgroup and the control group , the observation group were carried the noninvasive positive pressure ventilation, and the care, compared the heart rate after 24 h treatment , respiratory rate, blood pressure and arterial oxygen saturation and effect between two groups。Results: Observation group heart rate, respiratory rate, blood pressure and arterial oxygen saturation of observation group significantly improved compared with the control group, P<0.05. Nursing effect of the observation group were significantly better than the control group, P<0.05. Conclusion: Non-invasive ventilation can significantly relieve the hypoxia status of AECOPD patients with respiratory failure, excellent care will benefit to improve efficacy during the time.
[Key words] Non-invasive mechanical ventilation; AECOPD; Respiratory failure; Care
机械通气是治疗呼吸衰竭的最主要的手段，无创正压通气是是通过鼻面罩将呼吸机与患者相连，而不经人工气道(气管插管或气管切开)进行的通气，其在不对患者产生创伤的基础上，可迅速纠正低氧血症，近年来广泛应用于慢性阻塞性肺气肿急性加重期(AECOPD)合并呼吸衰竭患者的治疗[1] ......
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