无创正压通气治疗COPD合并呼吸衰竭的临床观察与护理方法

Clinical Observation and Nursing Methods of NIPPV in Treatment COPD with Respiratory Failure

目的:探讨无创正压通气(non-invasive positive pressure ventilation,NIPPV)治疗慢性阻塞性肺疾病(chronic obstructive pulmo-nary disease,COPD)合并呼吸衰竭患者的疗效及护理方法。方法:将60例COPD合并呼吸衰竭的患者随机分为治疗组和对照组各30例,对照组仅给予常规抗感染、平喘、祛痰、呼吸兴奋剂及低流量氧疗的治疗及一般护理,治疗组在常规治疗基础上加用无创正压通气治疗并给予通气护理,3天后观察两组治疗前后心率、呼吸频率和动脉血pH值、PaCO2、PaO2的变化。结果:治疗组加用无创正压通气治疗后心率、呼吸频率和动脉血pH值、PaCO2、PaO2较前有明显好转,与对照组比较有显著性差异(P<0.05)。结论:无创正压通气治疗及通气护理可明显改善COPD合并呼吸衰竭患者的症状,减慢了心率、呼吸频率,降低了PaCO2,提高了PaO2。

Objective： To explore the efficacy and nursing methods of non--invasive positive pressure ventilation in the management of patients of chronic obstructive pulmonary disease with respiratory failure. Methods： 60 patients were randomly divided into two groups： treatment group （n=30） and control group （n=30）. patients in the control group received conventional therapy. Besides conventional therapy, patients in the treatment group also received NIPPV. Results： The use of NIPPV significantly decreased the PaCO2 level, and increased PaO2 level and pH value. Conclusion： NIPPV is an effective method in the treatment of COPD with respiratory failure.