无创双水平正压通气治疗Ⅱ型呼吸衰竭疗效观察及护理.docVIP

无创双水平正压通气治疗Ⅱ型呼吸衰竭疗效观察及护理 　 作者：蔡淑芬　谭世繁　王春莲 【关键词】 治疗 　　摘要：目的：观察无创双水平正压通气治疗Ⅱ型呼吸衰竭的疗效并总结护理要点。方法：将25例慢性阻塞性肺部疾病（COPD）急性加重期合并Ⅱ型呼吸衰竭的患者随机分为实验组和对照组,对照组行常规药物及吸氧治疗，实验组在常规治疗的同时行无创双水平正压通气，观察比较两组患者动脉血气中的二氧化碳分压（PaCO2）、氧分压（PaO2），呼吸频率（RR），心率（HR）等指标。结果：与入院时比较：实验组PaCO2、PaO2、RR在通气2～3h后已有显著性改善（均P＜0.05），通气24h后PaCO2、PaO2、RR、HR均有显著性改善（均P＜0.05）；对照组治疗2～3h及24h后PaCO2 、PaO2、RR、HR均无显著性改善（均p＞0.05）。结论：无创双水平正压通气能够有效改善Ⅱ型呼吸衰竭PaCO2、PaO2、RR、HR，其效果优于单纯常规药物治疗。 　　关键词：无创双水平正压通气；Ⅱ型呼吸衰竭；护理 　　The nursing and observing the effect of nen invasive BipAp ventilatron in Treating type ⅡRespiratony failure 　　Abstract: Objective: To observe the curative effect for II respiratory failure through Non-invasive BiPAP Ventilation and sum up the nursing points. Method: Twenty-five cases of acute worse COPD with II respiratory failure were divided random ly into the tested group and the compared group. The compared group are given routine medicine and oxygen-uptaking treatment, the tested one are given routine treatment together with Non-invasive BiPAP Ventilation. Observe the normals of the PaCO2, PaO2, RR and HR in the arterial blood. Result: Compared with when admitted into hospital: after two or three-hour ventilation, the tested group has a notable improvement in PaCO2, PaO2, and RR (Plt; 0.05); after twenty-four-hour ventilation, notable improvement has been found in PaCO2, PaO2, RR and HR (P＜0.05). For the compared one, there is no much improvement in PaCO2, PaO2, RR and HR after treatment for two or three and twenty-four hours( P＞0.05). Conclusion； Non-invasive BiPAP Ventilation can effectively improve the PaCO2, PaO2, RR and HR of the II respiratory failure, its effect is better than simply routine medicine treatment. 　　Key words: Non-invasive BiPAP Ventilation; II respiratory failure;　Nursing 　　2003年6月至2004年9月，选取我院呼吸内科收治的符合COPD急性加重期合并Ⅱ型呼吸衰竭诊断标准［1］的患者25例（无法配合呼吸机的肺大泡、气胸及严重脏器功能障碍者除外），随机分成实验组和对照组，对照组行常规抗感染、应用呼吸兴奋剂及吸氧治疗，实验组在常规治疗的同时行无创双水平正压通气，取得显著效果，现报告如下。 　　1 对象和方法 　　1.1 对象：我院呼吸内科2003年6月至2004年9月收治的符合COPD急性加重期合并Ⅱ型呼吸衰竭