无创呼吸机治疗COPD并呼吸衰竭的护理研究

Nursing research of noninvasive ventilator in treatment of COPD with respiratory failure

目的：研究无创呼吸机治疗COPD合并呼吸衰竭的护理。方法将2011年7月～2013年5月我院采用无创呼吸机治疗COPD合并呼吸衰竭的88例患者作为研究对象，基于患者临床资料的研究与分析，随机将88例病患分为对照组与观察组各44例，两组基于常规治疗，加用无创呼吸机来予以治疗。在无创治疗过程中，对照组实施常规护理，未派专人护理，观察组基于常规护理派专人予以护理，经过一段时间的护理，对比分析两组病患血气变化情况。结果经过一段的护理，观察组患者血气变化情况明显优于对照组，且观察组病患满意度明显高于对照组，两组比较差异具有统计学意义（P＜0.05）。结论本研究在利用无创呼吸机治疗COPD合并呼吸衰竭时，采取科学且合理的护理方式不仅可使患者血气得到有效地改善，同时还可加速患者康复的速度，获得良好的治疗效果。

Objective To investigate the nursing effect of noninvasive ventilation in the treatment of COPD with respiratory failure. Methods From July 2011 to May 2013 in our hospital,88 patients with COPD complicated with respiratory failure underwent non-invasive ventilation were taken as study objects, they were randomly divided into control group and observation group,44 cases in each group, the two groups all received conventional treatment,and combined with noninvasive ventilator. In the process of non-invasive ventilation treatment,the control group received routine nursing care, did not send special nursing care, the observation group sent to special nursing care on based of routine nursing. After nursing a period of time, the blood gas changes were compared between two groups. Results After nursing a period of time, the blood gas changes of observation group were significantly better than the control group, and the nursing satisfaction of observation group was significantly higher than that of the control group, the difference was statistically significant between two groups（P 〈0.05）. Conclusion From the results of this study, when we apply noninvasive ventilation in treatment of COPD with respiratory failure, at the same time, we take scientific and reasonable nursing mode,and it not only can make blood improve effectively, but also can accelerate rehabilitation speed,and get a good therapeutic effect.