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双水平气道正压呼吸机在临床通气治疗中的应用及其护理干预 被引量:8

Application of Bi PAP in Clinical Ventilation Treatment and its Nursing Intervention
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摘要 目的探讨双水平气道正压呼吸机在临床通气治疗中的应用疗效及其护理干预方法。方法选取2016年6月—2017年5月浙江省江山市中医院治疗的120例COPD合并呼吸衰竭患者为研究对象,均行双水平气道正压呼吸机通气治疗,并给予综合护理干预。记录患者治疗前后PaO_2、PaCO_2、SaO_2及pH值等动脉血气指标;呼吸、心率、收缩压及舒张压等生命体征;于治疗前及治疗后行APACHEⅡ评分、GCS评分及辅助呼吸肌评分,记录治疗过程中的不良反应情况。结果与治疗前比较,患者治疗后PaO_2、SaO_2及pH值提高,而PaCO_2降低,呼吸频率放缓,心率收缩压及舒张压降低,APACHEⅡ评分及辅助呼吸肌评分降低,而GCS评分增加(P<0.05)。120例患者均未发生严重不良反应,仅出现3例胸闷和5例口干患者。结论双水平气道正压呼吸机辅以有效护理干预在临床通气治疗中疗效显著,无创安全,值得推广使用。 Objective To investigate the effect of the BiPAP in the clinical ventilation treatment and the nursing intervention.Methods From June 2016 to May 2017,120 cases of COPD combined with respiratory failure treated in Jiangshan Hospital of Traditional Chinese Medicine were selected as subjects.All patients were treated with BiPAP and given comprehensive nursing intervention.PaO2,PaCO2,SaO2 and pH,respiration,heart rate,systolic blood pressure and diastolic blood pressure,APACHEⅡscore,GCS score and accessory respiratory muscle score before and after treatment,and adverse reactions were recorded.Results Compared with those before treatment,the values of PaO2,SaO2 and pH increased,while PaCO2 decreased,respiratory slowed down,heart rate,systolic and diastolic blood pressure decreased,APACHE II score and auxiliary respiratory muscle score decreased,while GCS score increased after treatment(P<0.05).There were no serious adverse reactions in all 120 cases,only 3 cases of chest tightness and 5 cases of dry mouth.Conclusion The combination of nursing intervention and BiPAP is significant in clinical ventilation treatment,and it is safe and worth popularizing.
作者 姜丽娟 JINAG Li-Juan(Jiangshan Hospital of Traditional Chinese Medicine,Jiangshan 324100,China)
出处 《中国全科医学》 CAS 北大核心 2017年第B12期362-364,共3页 Chinese General Practice
关键词 呼吸衰竭 双水平气道正压呼吸机 通气治疗 护理 Respiratory failure BiPAP Ventilation therapy Nursing care
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