无创呼吸机治疗矽肺合并Ⅱ型呼吸衰竭68例疗效观察与护理

Noninvasive Ventilation in Treatment of Silicosis Complicated with Type Ⅱ Respiratory Failure 68 Example Curative Effect Observation and Nursing

目的探讨无创通气在矽肺合并Ⅱ型呼吸衰竭中的临床应用价值。方法将68例矽肺合并Ⅱ型呼吸衰竭患者随机分为对照组和观察组,每组34例。对照组用常规药物治疗,给予抗感染、平喘、鼻导管吸氧、雾化吸入、叩背祛痰等治疗;观察组用常规药物加无创正压通气治疗。结果两组患者治疗前的基础情况和血气指标差异无统计学意义(P>0.05)。治疗后实验组呼吸频率(RR)、心率(HR)、动脉血pH、氧分压(PaO2)、二氧化碳分压(PaCO2)均明显改善,且对循环系统无明显影响。对照组患者常规治疗后血气分析变化不明显。结论无创通气治疗矽肺急性加重期并发Ⅱ型呼吸衰竭可明显升高PaO2、降低PaCO2,改善机体缺氧及酸中毒,是一种有效的方法。

Objective To explore the noninvasive ventilation type merger of respiratory failure in clinical application value.Method 68 subjects with type in respiratory failure patients were randomly divided into observation group and controlgroup,each group of 34 patients in the control group with conventional treatments to fight infection,smoothing asthma oxygen nasa｜ catheter atomization inhalation back row buckle the treatment such as phlegm;the observation group with conventional drugs,noninvasive positive pressure ventilation treatment. Resu Its 2 groups of patients before treatment and the basis of flesh index difference was statistically significant （P 〉 0.05 ） after the treatment group （ RR ） breathing heart rate （ HR ） blood oxygen partial pressure （pH PaO2） carbon dioxide points pressure （ PaCO~ ） were markedly improved,and no significant effect of circulation system.The observation group often in the patients with conventional treatment blood gas analysis does not change significantly.Cone I us i on Noninvasive ventilation in treatment of acute exacerbations of concurrent type respiratory failure can obviously increase PaO2 reduce PaCO2,improve the body of oxygen and acidosis,is a kind of effective method.