危重症专职护理对AECOPD伴呼吸衰竭患者的干预作用分析

Analysis of the intervention effect of critical care full-time nursing on patients with AECOPD and respiratory failure

目的:分析危重症专职护理对慢性阻塞性肺疾病急性加重(AECOPD)伴呼吸衰竭患者的干预作用。方法:收治AECOPD伴呼吸衰竭患者98例,随机分为研究组和对照组。对照组采用常规护理干预,研究组在对照组基础上加用危重症专职护理干预,比较两组护理效果。结果:研究组ICU入住时间、有创通气时间和总通气时间小于对照组(P<0.05);2周后,两组PaO_2、血浆pH水平均较干预前显著增高,HR、MAP、RR、PaCO_2水平则均较干预前显著降低,且研究组改变幅度大于对照组(P<0.05)。结论:危重症专职护理有助于减少AECOPD伴呼吸衰竭患者的治疗时间,改善血流动力学指标和血气指标。

Objective:To explore the intervention effect of critical care full-time nursing on patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD) and respiratory failure.Methods:98 patients with AECOPD and respiratory failure were chosen,and they were randomly divided into the study group and the control group.The control group was treated with routine nursing intervention,and the study group added with critical care full-time nursing on the basis of the control group,we compared the nursing effect in two groups.Results:In the study group,the time of ICU stay,the time of invasive ventilation and the total ventilation time were less than the control group(P<0.05).After 2 weeks,the levels of Pa O2 and plasma p H in the two groups were significantly higher than those before the intervention,the levels of HR,MAP,RR and Pa CO2 were significantly lower than those before the intervention,and the change range of the study group was greater than that of the control group(P<0.05).Conclusion:Critical care full-time nursing on patients with AECOPD and respiratory failure can help reduce treatment time,improve hemodynamic indicators and blood gas indicators.