【摘要】 目的:探讨慢性阻塞性肺疾病的临床观察与护理。方法:将120例患者随机分成三组,Ⅰ组40例(无创正压通气+特殊护理),Ⅱ组40例(常规氧疗+特殊护理)和Ⅲ组40例(无创正压通气+常规护理),对比观察其疗效。结果:治疗后,Ⅰ组患者的,PaCO2为(53.87±4.53)mm Hg,PaO2为(83.24±2.45)mm Hg,pH(7.41±0.03);Ⅱ组PaCO2为(62.86±4.51)mm Hg,PaO2为(69.02±3.41)mm Hg,pH(7.28±0.04),Ⅰ组改善明显好于Ⅱ组(P<0.05);Ⅰ组的总有效率为95%,明显高于Ⅲ组的总有效率80%(χ2=4.114 3,P<0.05)。结论:无创正压通气配合特殊护理治疗慢性阻塞性肺疾病,具有显著成效,值得临床推广。更多还原

【Abstract】 Objective: To Discuss the clinical observation and nursing of COPD.Methods: 120 cases were randomly divided into three groups,groupⅠ had 40 cases(NPPV+ Special care),group Ⅱ had 40 cases(Regular oxygen+ Special care) and group Ⅲ had 40 cases(NPPV+ Regular care),the effect of three groups were compared and observed.Results: After curing,the patients′ PaCO2 was(53.87±4.53) mm Hg,PaO2 was(83.24±2.45) mm Hg and pH was(7.41±0.03) in group Ⅰ,the patients′ PaCO2 was(62.86±4.51) mm Hg,PaO2 was(69.02±3.41) mm Hg and pH was(7.28±0.04) in group Ⅱ,group Ⅰwas better than group Ⅱ(P<0.05);Compared the total effective between group Ⅰ and group Ⅲ,group Ⅰ was 95% which was better than group Ⅲ which was 80%(χ2=4.114 3,P<0.05).Conclusion: NPPV and special care in the treatment of COPD have significant results and be worthy of clinical.更多还原