双水平正压通气治疗急性心源性肺水肿的临床观察及护理

Clinical observation and nursing of double level positive pressure ventilation in the treatment of acute cardiac pulmonary edema

目的探讨双水平正压通气治疗急性心源性肺水肿的临床效果及针对性治疗护理的应用效果。方法选取急性心源性肺水肿患者84例随机分为观察组和对照组各42例,对照组患者采用吸氧、扩血管、强心等常规治疗及护理,观察组患者在对照组的基础上采用双水平正压通气及针对性治疗护理措施。比较2组患者治疗前后p(CO2)、p(O2)、血氧饱和度等血气指标的变化,并调查患者的满意度。结果双水平正压通气能降低急性心源性肺水肿患者p(CO2),升高p(O2)、血氧饱和度,观察组治疗后p(CO2)、p(O2)、血氧饱和度与对照组比较,差异具有统计学意义(P<0.05);观察组患者的护理满意度显著高于对照组,差异具有统计学意义(P<0.05)。结论双水平正压通气治疗急性心源性肺水肿的临床效果好,采用针对性治疗护理措施能提高患者的满意度。

Objective To investigate the clinical effect of double level positive pressure ventilation in the treatment of acute cardiac pulmonary edema and targeted therapy. Methods A total of 84 patients with acute cardiac pulmonary edema were randomly divided into observation group and control group, with 42 cases in each group. The control group was treated with conventional therapy and nursing, such as oxygen, expanding blood vessel and strong heart, and the observation group were treated with double level positive pressure ventilation and nursing care. The changes of blood gas indexes, p （CO2）, p （O2） and blood oxygen saturation of two groups before and after treatment were compared, and the satisfaction of patients were investigated. Results Double level positive pressure ventilation can reduce the acute cardiogenic pulmonary edema in patients could reduce p （COa） and increase p （O2） and blood oxygen saturation. After treatment, there were significant difference in p（CO2）, p（02）, SpO2 in the observation group compared with the control group （P 〈 0.05）. Nursing satisfaction in the observation group was significantly higher than that of control group （ P 〈 0.05）. Conclusion The clinical effect of double horizontal positive pressure ventilation in the treatment of acute cardiac pulmonary edema is obvious, targeted nursing measures can improve the patient＇s satisfaction.