慢性阻塞性肺疾病患者应用家庭无创通气的护理

Application of family non-invasive ventilation in nursing of patients with chronic obstructive pulmonary diseases

目的探讨应用家庭无创通气对慢性阻塞性肺疾病(COPD)患者的疗效。方法选择COPD患者60例,分为干预组和对照组各30例;对照组予以家庭间断低流量鼻导管吸氧治疗,干预组予以家庭无创通气治疗;比较两组治疗前、后对年住院次数,年急诊次数和肺功能的影响。结果干预组与对照组比较,治疗前后,差异有统计学意义(P<0.05),治疗后干预组与对照组比较,每秒钟肺活量/最大肺活量(57.00±2.46)%、(43.64±2.37)%、每秒钟肺活量(45.49±3.76)%、(32.61±3.56)%、动脉血氧分压(90.1±5.29)、(70.0±4.84)mmHg、二氧化碳分压(45.6±5.2)、68.9±4.7)mm Hg、动脉血氧饱和度(94.6±4.5)%(、82.1±5.0)%,差异有统计学意义(P<0.01)。结论家庭无创通气治疗和护理,可减少年住院次数、年急诊次数并改善肺功能,方法简单有效,值得临床推广。

OBJECTIVE To discuss the curative effects of family non-invasive ventilation in treating the patients with COPD.METHODS A total of 60 patients with COPD were divided into intervention group and control group with 30 cases in each.Patients in control group applied the family intermittent low-flow nasal catheter oxygen inhalation treatment.Patients in intervention group applied the family non-invasive ventilation.The frequency of hospitalization in a year,emergency time and lung function of the two groups before and after treatment were compared.RESULTS The difference before and after treatment in the two groups was statistically significant（P〈0.05）,the differences in FEV1/FVC（57.00±2.46）%,（43.64±2.37）%,FEV1（45.49±3.76）%,（32.61±3.56）% PaO2（90.1±5.29）,（70.0±4.84） mmHg,PaCO2（45.6±5.2）,（68.9±4.7） mmHg and SaO2（94.6±4.5）%,（82.1±5.0）% of the two groups after the treatment were statistically significant（P〈0.001）.CONCLUSION The application of family non-invasive ventilation in treating the patients with COPD can reduce the frequency of hospitalization and emergency frequency and can also improve the lung function.This simple and effective method is worth clinical promotion.