无创呼吸机联合氧气驱动雾化吸入治疗在慢阻肺合并呼吸衰竭患者的护理干预.docVIP

精品论文 参考文献 无创呼吸机联合氧气驱动雾化吸入治疗在慢阻肺合并呼吸衰竭患者的护理干预 马俊美 　　（河北省邯郸市第一医院 河北 邯郸 056000） 　　摘要：目的：观察和评价无创呼吸机联合氧气驱动雾化吸入治疗在慢阻肺（COPD） 合并呼吸衰竭患者中的应用及护理效果。方法：选取2013年8月到2014年8月住院的64例COPD 合并呼吸衰竭的无创呼吸机使用患者随机分为两组：观察组32例，采用无创呼吸机合并氧气驱动雾化吸入治疗；对照组32例，采用常规雾化吸入治疗，并进行护理干预。比较观察两组患者相关指标。结果：两组患者经治疗后肺功能和血气分析结果均有改善。观察组在住院日程、呼吸机使用时间均明显低于对照组；观察组治疗期间出现口干、咽痛及排痰困难的患者比例也较对照组明显降低，两组率的比较有统计学意义，P＜0. 05。结论：对持续使用无创呼吸机的COPD 合并呼吸衰竭患者合并氧气驱动雾化吸入治疗并进行护理干预，提高了患者在住院期间的治疗效果和生活质量，值得临床推广应用。 　　关键词：无创呼吸机；氧气驱动雾化吸入；慢阻肺；呼吸衰竭 　　【中图分类号】R47 【文献标识码】B 【文章编号】1003-5028（2015）6-0570-02 　　Analysis on the Nursing Intervention of the Treatment of Noninvasive Ventilator Combination with Oxygen Aerosol Inhalation in the COPD with Respiratory Failure Patients 　　【Abstract】Objective: to observe and evaluate the noninvasive ventilator combined oxygen aerosol inhalation therapy in COPD (COPD) combined effect of the application and nursing of patients with respiratory failure. Methods: We select in August 2013 to August 2014 of 64 COPD patients who were hospitalized with respiratory failure of noninvasive ventilator used patients randomly divided into two groups: observation group of 32 cases, driven by noninvasive ventilator combined oxygen atomization inhalation treatment; the control group, 32 cases with normal atomization inhalation therapy, and nursing intervention. Two groups of patients were studied on relevant indicators. Results: Two groups after treatment in patients with pulmonary function and blood gas analysis results are improved. Observation group agenda, breathing machine used in hospital time were significantly lower than the control group; Observation group appear dry mouth, pharynx pain during the treatment and the proportion of patients with sputum difficult significantly lower than the control group, the comparison of rate of two groups was statistically significant, P lt; 0.05. Conclusion: The use of continuous noninvasive ventilator of COPD with respiratory failure in patients with combined oxygen aerosol inhalati