【摘要】 目的:观察护理干预用于无创通气治疗慢性阻塞性肺疾病(COPD)合并重症呼吸衰竭患者的临床价值。方法:将100例COPD合并重症呼吸衰竭患者,随机分为两组,每组50例。两组均采取无创正压通气治疗,对照组实施呼吸内科常规护理,观察组则实施临床护理干预。对比两组动脉血气指标、并发症发生率。结果:观察组动脉血气指标,明显优于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率为2.0%,显著低于对照组的14.0%,差异有统计学意义(P<0.05)。结论:在无创正压通气治疗COPD合并重症呼吸衰竭的基础上开展临床护理干预可巩固治疗效果,改善低氧血症与高碳酸血症,降低并发症发生率,值得临床推广应用。更多还原

【Abstract】 Objective To evaluate nursing interventions for non- invasive ventilation in chronic obstructive pulmonary disease( COPD) patients with severe clinical value of respiratory failure. Method 100 cases of respiratory failure in patients with severe COPD were randomly divided into two groups,50 cases of each group. Both groups received noninvasive positive pressure ventilation therapy,the control group received routine care respiratory medicine,observation group received clinical nursing intervention. Arterial blood gas and complication rates of the two groups were observed and statistically analyzed. Results Arterial blood gas of observation group was significantly better than the control group,the difference was statistically significont( P < 0. 05). The complication rate of observation group was 2. 0%,significantly lower than the control group 14. 0%,the difference was statistically significont( P < 0. 05). Conclusion Noninvasive positive pressure ventilation for severe respiratory failure to carry out the merger on the basis of COPD clinical nursing intervention can consolidate the therapeutic effect and improve hypoxemia and hypercapnia,reduce the incidence of complications,worthy of clinical promotion and application.更多还原