护理干预对无创正压通气治疗COPD并呼吸衰竭效果的影响

The Effect of Nursing Intervention on the Treatment of Nn-invasive Positive Pressure Ventilation in COPD with Respiratory Failure

目的探讨无创正压通气治疗慢性阻塞性肺疾病(COPD)并呼吸衰竭的有效护理干预措施,提高治疗效果。方法选择资阳市第一人民医院2008年4月至2009年4月收治的80例COPD并呼吸衰竭应用无创正压通气治疗的患者,随机分为护理干预组与非护理干预组各40例,其中护理干预组给予心理、上机前、通气中及撤机时精心的、有针对性的观察和护理。将两组患者指标列表观察并进行统计学分析。结果护理干预组的pH、PaCO2、PaO2、RR、HR较非护理干预组有明显改善,差异有统计学意义(P<0.05)。结论对于COPD合并呼吸衰竭患者应用无创通气治疗时采取精心的、有针对性的护理干预措施可显著提高治疗效果。

Objective To discuss the effect of nursing interventions on the treatment of noninvasive positive pressure ventilation in COPD with respiratory failure, and to improve the therapeutic effect. Methods The first people＇ s hospital of Ziyang from April 2008 to April 2009 were treated 80 cases of COPD and respiratory failure use noninvasive positive pressure ventilation in the treatment of patients were randomly divided into intervention group and non- nursing care and intervention group of 40 cases, of which nursing intervention group was given psychological, on the machine before ventilation and weaning careful, targeted observation and care. A list of indicators will be two groups of patients observed and analyzed statistically. Results The nursing intervention group pH, PaCO2, PaO2, RR, HR compared with non-nursing intervention group significantly improved, the difference was statistically significant （P〈0.05）. Conclusion Combined with respiratory failure for patients with COPD Non-invasive ventilation in the treatment to take careful, targeted nursing interventions can significantly improve the therapeutic effect.