优质护理干预对无创呼吸机治疗肺心病患者临床效果作用.docVIP

优质护理干预对无创呼吸机治疗肺心病患者临床效果的作用 　　[摘要] 目的 探讨优质护理干预对无创呼吸机治疗肺心病患者临床效果的作用。方法 随机收集2013年5月―2016年4月在该院呼吸科住院治疗的90例肺心病患者，随机分为优质护理组和常规护理组，各45例。常规护理组采用常规的护理干预模式。优质护理组在进行常规治疗及常规护理同时实施优质护理干预措施。比较两组患者治疗前后的心率（HR）、呼吸频率（RR）、血氧饱和度、PaO2、脑钠肽（BNP）及临床疗效。结果 护理后，两组HR、RR、BNP较护理前明显降低，但优质护理组降低程度更更大（P0.05）。护理后，两组血氧饱和度、PaO2较护理前明显升高，但优质护理组升高程度更大（P0.05）。优质护理组有效率明显高于常规护理组（P0.05）；住院天数较常规护理组明显减少（P0.05）。结论 优质护理干预应用于无创呼吸机治疗的肺心病患者，有效改善患者的心肺功能，提高临床疗效，缩短患者的住院时间，提高其生存质量。 　　[关键词] 优质护理干预；无创呼吸机；肺心病 　　[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742（2017）02（a）-0164-03 　　[Abstract] Objective To discuss the effect of excellent nursing intervention on clinical effect of noninvasive ventilator in treatment of patients with pulmonary heart disease. Methods Random selection 90 cases of patients with pulmonary heart disease admitted and treated in the department of respiration in our hospital from May 2013 to April 2016 were selected and randomly divided into two groups with 45 cases in each， the routine nursing group adopted the nursing intervention model， while the excellent nursing group adopted the excellent nursing intervention measures on the basis of the routine treatment， and the heart rate， respiration frequency， oxygen saturation of blood， PaO2， BNP and clinical curative effect were compared between the two groups. Results After nursing， the HR，RR，BNP obviously decreased compared with those after nursing， but the decrease range in the excellent nursing group was bigger（P0.05）， and after nursing， the oxygen saturation of blood and PaO2 obviously increased compared with those before nursing， and the increase degree in the excellent group was bigger， and the effective rate in the excellent nursing group was obviously higher than that in the routine nursing group， and the length of stay obviously decreased compared with that in the routine nursing group（P0.05）. Conclusion The application of excellent nursing intervention in the noninvasive ventilator in treatment of patients with pulmonary heart disease can effectively