无创呼吸机治疗慢性阻塞性肺疾病合并呼吸衰竭的应用及护理体会

Application and nursing experience of Non-invasive inspirator in the treatment of COPD complicated with respiratory failure

目的观察无创呼吸机治疗慢性阻塞性肺疾病合并呼吸衰竭的临床应用效果,总结护理体会。方法对86例确诊慢性阻塞性肺疾病合并呼吸衰竭患者应用无创呼吸机治疗,观察治疗前后动脉血气指标Pa O2、Pa CO2、Sa O2及HR、RR的变化,总结护理经验与体会。结果治疗后动脉血氧分压(Pa O2)升高、二氧化碳分压(Pa CO2)降低,血氧饱和度(Sa O2)上升,心率(HR)及呼吸频率(RR)均下降,较治疗前差异均有统计学意义(P<0.05)。结论无创呼吸机对慢性阻塞性肺疾病合并呼吸衰竭患者动脉血气指标改善效果明显,操作简便,易于护理,治疗过程中应注意有效护理干预措施的实施,尤其是心理护理及并发症的防范。

Objective To observe the effect of non-invasive inspirator in the treatment of COPD complicated with respiratory failure,summarize nursing experience. Methods 86 cases of patients diagnosed with COPD complicated with respiratory failure were treated with non-invasive inspirator therapy.PaO2,PaCO2,SaO2,HR,RR Indexes were observed before and after treatment,summarize nursing experience. Results After treatment,arterial oxygen tension（PaO2） increased,carbon dioxide partial pressure （PaCO2）was decreased,oxygen saturation （SaO2）was increased,both heart rate （HR）and respiratory rate （RR）was decreased,compared with Differences between pre-treatment and after treatment was statistically significant （P〈0.05）.Conclusion The effect of the non-invasive inspirator for chronic obstructive pulmonary disease complicated with respiratory failure in patient＇s arterial blood gas improvement is obvious,easy to operate,easy to nurse,in treatment of this desease,we should pay more attention to the implementation of effective nursing interventions,and patient＇s psychological care and complications prevention.