慢性阻塞性肺疾病合并慢性心衰高龄患者的临床护理

目的探讨分析慢性阻塞性肺疾病合并慢性心衰高龄患者的临床护理。方法：选取我科收治的慢性阻塞性肺疾病合并慢性心衰高龄患者随机分为对照组和观察组，对照组实施常规护理，观察组患者则实施综合康复护理，并对护理前后2组患者的临床指标进行对比分析。结果：护理干预后，观察组患者的心肺功能、生活自理能力（Barthel指数）显著高于对照组（P〈0．05），观察组患者的住院时间明显少于对照组，观察组患者的心率、左室舒张末径、脑钠肽（BNP）均明显低于对照组，观察组左室射血分数、E／A比值、用力肺活量（FVC）、第一秒用力呼出量占肺活量比值（FEV1．0／FVC）均明显高于对照组，差异均有统计学意义（P〈0．05）。结论：对慢性阻塞性肺疾病合并慢性心衰高龄患者实施综合护理干预措施，达到了更好的治疗效果。

Objective To investigate and analyze the chronic obstructive pulmonary disease with the clinical nursing methodsof elderly patients with chronic heart failure： selected in our department in 2014 January 2015 years January 67 cases of chronicobstructive pulmonary disease with elderly patients with chronic heart failure （CHF） as the research object, divided for 33 casesof control group and 34 cases in the observation group, 33 cases of control group the implementation of routine nursing, 34 casesof observation group is the implementation of comprehensive rehabilitation nursing, and carries on the contrast analysis to thenursing before and after the 2 groups of patients with clinical indicators of. Results： the subsequent statistical analysis thatnursing intervention observed group of patients with heart and lung function, life self-care ability （Barthel Index） wassignificantly higher than that in control group （P 〈 0.05）, observation group patients hospitalization time was significantly lessthan that of the control group, the observation group of patients with heart rate, Zuo Shishu Zhang Mojing, brain natriureticpeptide （BNP） were significantly lower than that of the control group, observation group, left ventricular ejection fraction （LVEF,E / a ratio）, forced vital capacity （FVC （FVC）, the first second forced expiratory volume accounted for vital capacity ratio（FEVI.O/FVC） were significantly higher than those in the control group, the differences were statistically significant （P 〈 0.05）.Conclusion： in the merger of chronic obstructive pulmonary disease in elderly patients with chronic heart failure in the course oftreatment, the patient implementation of comprehensive nursing intervention measures, contribute to development of patients withthe disease were effectively control, and promote effectively improve the patients with lung function and medication complianceof, so as to achieve a better treatment effect, should be widely used.