双水平气道正压通气治疗Ⅱ型呼吸衰竭患者的护理.docVIP

双水平气道正压通气治疗Ⅱ型呼吸衰竭患者的护理 双水平气道正压通气治疗Ⅱ型呼吸衰竭患者的护理 作者：林买洁 作者单位：广东省江门市新会区中医院 ， 广东 江门 529100 【摘要】 目的：探讨无创性双水平气道正压通气（BiPAP）呼吸机治疗Ⅱ型呼吸衰竭的疗效和临床护理要点。 方法: 92例Ⅱ型呼吸衰竭患者，随机分为治疗组(46例)和对照组(46例)，对照组采用常规综合治疗。治疗组除采用常规治疗外，加用BiPAP呼吸机治疗。两组均观察治疗前后血气分析结果与临床症状。结果:加用BiPAP呼吸机治疗后, 治疗组临床症状明显改善, 血氧分压(PaO2)明显上升、血二氧化碳分压(PaCO2)明显降低,与治疗前比较有统计学意义(P＜0.001)。对照组PaO2明显上升(P＜0.001)，但PaCO2治疗前后相差不显著(P＞0.05),对治疗Ⅱ型呼吸衰竭患者效果不明显。结论:用BiPAP呼吸机治疗可明显改善Ⅱ型呼吸衰竭患者的临床症状和血气指标。重点是护士熟练掌握BiPAP呼吸机治疗和护理的各种技能,对治疗效果有重要的影响。 【关键词】 Ⅱ型呼吸衰竭; BiPAP呼吸机; 护 理 　　Nursing for ⅡRespiratory Failure Patients Treated with BiPAP LIN Man-jie（Xinhui Hospital of TCM Jiangmen City,Guangdong Jiangmen 529100, China） 　　Abstract：Objective：To approach the effect of Ⅱrespiratory failure treated with Non-trauma BiPAP breathing machine and the point of clinical nursing. Methods:The 92 Ⅱrespiratory failure patients were randomly divided into treatment group(46 patients) and control group(46 patients). Control group was routine treated with combined therapy, treatment group was treated with BiPAP breathing machine additional,except for combined therapy. Two groups were also observed by blood gas analysis、clinical symptom before and after therapy. Results: Treated with BiPAP breathing machine,clinical symptom is improved better and PaO2 upgrade、PaCO2 degrade obviously in treatment group,compared with pretherapy ,there is statistical significance(P＜0.001).In control group PaO2 upgrade obviously(P＜0.001),but the level of PaCO2 is no better than pretherapy (P＞0.05),the therapeutic effect ofⅡrespiratory failure patients is not good. Conclusion: Therapy with BiPAP breathing machine can improve clinical symptom、index of blood gas in Ⅱrespiratory failure patients.The important point is that nurse practiced handle BiPAP breathing machine and the skill of nursing care,it significantly influence therapeutic efficacy. Key words： Ⅱrespiratory failure; BiPAP breathing machine; Nurse 　　无创性双水平气道正压通气（BiPAP）呼吸机可使一