Ⅱ型呼衰患者应用BIPAP无创呼吸机护理探讨

Type Ⅱ Respiratory Failure Patients with Non-invasive Ventilator BIPAP Care Discussion

目的探讨Ⅱ型呼吸衰竭患者应用Bi PAP无创呼吸机的护理方法及其效果。方法随机选取2014年2月—2015年11月期间该院收治的Ⅱ型呼吸衰竭患者86例,所有患者均接受Bi PAP无创呼吸机辅助通气治疗,其中观察组患者接受针对性护理,对照组患者实施常规护理,对其护理效果进行回顾性分析。结果观察组患者经Bi PAP呼吸机辅助通气治疗,其Sa CO2、Pa O2、p H分别为(93.7±6.5)%、(71.2±7.5)mm Hg、(7.40±0.07)。较治疗前(78.9±5.7)%、(53.9±6.6)mm Hg、(7.30±0.05)。明显上升,Pa CO2(49.7±9.4)mm Hg较治疗前(65.2±7.5)mm Hg明显下降,差异有统计学意义(P<0.05)。结论 Bi PAP呼吸机通气治疗是一种有效的Ⅱ型呼吸衰竭治疗方式,在治疗期间给予患者全面合理的护理干预,可有效保证通气治疗的顺利进行,对于改善患者临床症状,具有临床意义。

Objective Discussion Ⅱ respiratory failure patients Bi PAP noninvasive ventilator care methods and their effects. Methods Randomly selected in February 2014- admitted to hospital in November 2015 during the type Ⅱrespiratory failure in 86 patients, all patients received Bi PAP noninvasive mechanical ventilation treatment, observation group patients receiving targeted care for patients in the control group routine care, were retrospectively analyzed care benefits. Results 43 cases of patients with type Ⅱ respiratory failure Bi PAP mechanical ventilation treatment, Sa O2,Pa CO2, p H（93.7±6.5）%,（71.2 7.5）mm Hg, 7.40 ± 0.07 compared with before treatment（78.9 ± 5.7）%,（53.9 ± 6.6）mm Hg, 7.30 ± 0.05 significantly increased, Pa CO2（49.7±9.4） mm Hgthan before treatment（65.2±7.5）mm Hg decreased significantly, the difference was significant（P 〈0.05）. Conclusion Bi PAP ventilator therapy is an effective treatment for type Ⅱ respiratory failure, give the patient a reasonable comprehensive nursing intervention during the treatment,which can effectively guarantee the smooth progress of ventilation therapy for improving the clinical symptoms of clinical significance.