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经鼻气管插管呼吸机辅助通气治疗呼吸衰竭的护理 被引量:2

Nursing care of patients with respiratory failure treated by nasotracheal intubation and ventilator assisted ventilation
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摘要 目的:探讨经鼻气管插管呼吸机辅助通气治疗呼吸衰竭患者的护理方法与效果。方法:选取2019年1月-2020年12月进行呼吸机辅助通气治疗的呼吸衰竭患者64例,按不同护理方案分为两组,各32例。对照组实施常规护理;研究组应用综合护理。比较两组护理效果。结果:研究组治疗总有效率高于对照组,且并发症发生率低于对照组,差异均有统计学意义(P<0.05);研究组治疗后心率及呼吸频率均低于对照组,SaO2及PaO2水平均高于对照组、PaCO2水平低于对照组,差异均有统计学意义(P<0.05)。结论:经鼻行气管插管呼吸机辅助通气治疗呼吸衰竭患者时采用综合护理措施,能够更好地满足患者需求,改善患者血气指标水平,从而提高治疗效果,降低并发症发生率。 Objective:To explore the nursing method and effect of transnasal endotracheal intubation and ventilator assisted ventilation in the treatment of patients with respiratory failure.Methods:From January 2019 to December 2020,64 patients with respiratory failure treated with ventilator-assisted ventilation were selected.According to different nursing schemes,they were divided into two groups with 32 cases in each group.The control group received routine nursing.The study group applied comprehensive nursing.We compared the nursing effects of the two groups.Results:In the study group,the total effective rate was higher than that in the control group,and the incidence of complications was lower than that in the control group,the difference was statistically significant(P<0.05).In the study group,after treatment,heart rate and respiratory rate were lower than those in the control group,SaO_(2) and PaO_(2) levels were higher than those in the control group,and PaCO_(2) levels were lower than those in the control group,the difference was statistically significant(P<0.05).Conclusion:Comprehensive nursing measures for patients with respiratory failure treated with ventilator-assisted ventilation can better meet the needs of patients and improve the blood gas index level of patients,so as to improve the treatment effect and reduce the incidence of complications.
作者 仲晨馨 Zhong Chenxin(Department of Critical Medicine,Nanjing Integrated Traditional Chinese and Western Medicine Hospital Affiliated to Nanjing University of Traditional Chinese Medicine,Jiangsu Nanjing 210014)
出处 《中国社区医师》 2021年第32期144-145,共2页 Chinese Community Doctors
关键词 呼吸衰竭 呼吸机 通气治疗 综合护理 并发症 Respiratory failure Ventilator Ventilation therapy Comprehensive nursing Complication
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