氧气雾化吸入联合无创呼吸机治疗在COPD合并呼吸衰竭患者中的应用及护理.docVIP

精品论文 参考文献 氧气雾化吸入联合无创呼吸机治疗在COPD合并呼吸衰竭患者中的应用及护理 中南大学湘雅医院 湖南长沙 410008 【摘 要】目的：探讨分析氧气驱动雾化吸入联合无创呼吸机治疗在COPD合并呼吸衰竭患者中的应用及临床护理方式。方法：对2011年01月至2014年10月期间接收治疗的420例COPD合并呼吸衰竭患者，按时间先后顺序分为两组：对照组和观察组，每组各210例，所有患者均使用氧气雾化吸入进行治疗（对照组摘机后)，观察组在雾化的同时联合无创呼吸机进行治疗，并给予相应护理，比较两组患者肺功能改善效果和临床各项状况，如并发症、血氧分压、呼吸机使用时间以及住院时间等。结果：治疗后，比较两组患者肺功能改善和临床各项状况，观察组显著优于对照组，两组差异有统计学意义（Plt;0.05）。结论：对COPD合并呼吸衰竭的患者采用氧气雾化吸入联合无创呼吸机治疗，并给予相应护理，不仅有效地提高患者的治疗效果，改善其生活质量，而且可以缩短呼吸机的使用时间和减少住院天数。 【关键词】氧化驱动；雾化吸入；无创呼吸机；COPD；呼吸衰竭；护理 [Abstract]Objective：To probe into and analyze the application and nursing of atomizing inhalation combined with noninvasive ventilator therapy in patients with COPD complicated with respiratory failure.Methods：420 patients who suffered from the COPD complicated with respiratory failure and who accepted treatments in our hospital from January，2011 to October，2014 were taken as the research objects，and these patients were randomly divided into the control group and the observation group according to admission，with 210 patients in each group.All patients were treated with the oxygen atomization inhalation（control group off hook)，while in the observation group were treated with the atomization combined with non invasive ventilation and were given corresponding nursing..Then，the effect of lung function and the clinical status of the two groups of patients were compared，such as complications，oxygen partial pressure，breathing machine time and hospitalization time，etc.Outcome：After treatment，the improvement of pulmonary function and clinical status of two groups of patients were compared，in the observation group was significantly better than the control group，and the differences had statistical significance（Plt;0.05).Conclusion：The treatment of COPD complicated with respiratory failure in patients with noninvasive Ventilator combined with oxygen inhalation treatment not only can effectively improve the treatment effect，improve the quality of life，but also can shorten the time of use of breathing