体外膈肌起搏对慢阻肺患者康复护理100例临床观察

Nursing effect of external diaphragmatic pacemaker in the treatment of chronic obstructive pulmonary disease

目的:研究体外膈肌起搏对慢性阻塞性肺病患者康复治疗的护理效果。方法:将200例慢性阻塞性肺病患者随机分为观察组和对照组,对照组采取常规护理,观察组100例采用体外膈肌起搏护理,比较两组护理后呼吸系统的功能恢复效果、膈肌活动幅度以及护理满意度。结果:经膈肌起搏护理后观察组患者的咳嗽、胸闷气促等情况得到明显改善,呼吸功能恢复有效率为85.00%,明显高于常规对照组的71.00%(P<0.05);膈肌活动幅度为(5.28±1.21)cm,明显高于对照组的(3.14±0.29)cm;观者组患者的护理满意度为90.0%,显著高于对照组的77.0%(P<0.05)。结论:体外膈肌起搏护理相比常规呼吸肌训练护理能更有效的恢复膈肌的收缩功能,对肺功能的恢复有更好效果。

Objective:To study the nursing effect of external diaphragmatic pacemaker in the treatment of chronic obstructive pulmonary disease.Methods:200 patients with chronic obstructive pulmonary disease were randomly divided into control group and observation group,100 cases in each group.The patients in the observation group were treated with external diaphragmatic pacemaker on the basis of conventional therapy.The levels of pH、PaCO2、PaO2 in the patients' arterial blood were compared between the two groups.Besides,the functional recovery effects of respiratory system and the amplitude of diaphragm activity were compared in these two groups.Results:The levels of PaCO2 in the observation group was significantly decreased than the control group and PaO2 was significantly improved than the control group(P<0.01).Besides,the effective rate of respiratory function(85.00%)was higher than that in the control group(71.00%)significantly and the amplitude of diaphragm activity(5.28±1.21)cm.was increased greatly compared with the control group(3.14±0.29)cm.Conclusion:External diaphragmatic pacemaker on the basis of conventional therapy can recover the systolic function of the diaphragm and has good effects towards the recovery of lung function.