无创呼吸机治疗慢性阻塞性疾病合并重症呼吸衰竭的护理分析

Nursing Analysis of Non-invasive Ventilator in the Treatment of Chronic Obstructive Disease Complicated with Severe Respiratory Failure

目的研究对无创呼吸机治疗的慢性阻塞性肺疾病合并重症呼吸衰竭患者所配合的有效护理方案。方法选择到我院治疗的76例慢性阻塞性肺疾病合并重症呼吸衰竭的患者为研究对象,时间为2018年1月至2019年8月,按随机方法分为观察组与对照组,每组38例。两组患者均通过无创呼吸机进行治疗,并分别对两组患者配合综合护理和常规护理,比较不同护理的效果。结果①观察组[5.26%(2/38)]的并发症发生率相较对照组[23.68%(9/38)]更低,差异有统计学意义(P<0.05)。②观察组[94.74%(36/38)]的满意度相较对照组[73.68%(28/38)]更理想,差异有统计学意义(P<0.05)。③观察组治疗后的FEV_(1)%Pred[(35.20±16.50)%]、FEV_(1)/FVC[(40.50±14.30)]相较对照组的FEV_(1)%Pred[(51.7±20.60)%]、FEV_(1)/FVC[(55.4±14.30)]恢复更好,差异有统计学意义(P<0.05)。④观察组患者治疗后的PaO_(2)、pH、PaCO_(2)、SO_(2)明显优于对照组,差异有统计学意义(P<0.05)。结论通过无创呼吸机对慢性阻塞性肺疾病合并重症呼吸衰竭进行治疗时配合综合护理能降低并发症对患者的影响,提高患者的整体满意度,改善患者的心肺功能和血气指标。

Objective To study the effective nursing plan for patients with chronic obstructive pulmonary disease and severe respiratory failure treated by non-invasive ventilator.Methods From January 2018 to August 2019,76 patients with chronic obstructive pulmonary disease and severe respiratory failure who came to our hospital for treatment were randomly divided into observation group and control group,with 38 cases in each.Both groups of patients were treated by non-invasive ventilator,and the two groups of patients were treated with comprehensive nursing and conventional nursing,and the effects of different nursing were compared.Results(1)The complication rate of the observation group[5.26%(2/38)]was lower than that of the control group[23.68%(9/38)],and the difference was statistically significant(P<0.05).(2)The satisfaction of the observation group[94.74%(36/38)]was more ideal than that of the control group[73.68%(28/38)],and the difference was statistically significant(P<0.05).(3)FEV_(1) after treatment in the observation group%Pred[(35.20±16.50)%],FEV_(1)/FVC[(40.50±14.30)]compared with the control group FEV_(1)%Pred[(51.7±20.60)%],FEV_(1)/FVC[(55.4±14.30)]recovered more better,the difference is statistically significant(P<0.05).(4)PaO_(2),pH,PaCO_(2),and SO_(2) of the observation group after treatment are significantly better than those of the control group,and the difference is statistically significant(P<0.05).Conclusion Non-invasive ventilator for the treatment of chronic obstructive pulmonary disease with severe respiratory failure combined with comprehensive care can reduce the impact of complications on patients,improve patient overall satisfaction,improve patients'cardiopulmonary function and blood gas index.